MANUEL TRIANA - Pharmacist License in Illinois | # 049065394

MANUEL TRIANA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065394

License Status

NOT RENEWED

Business

N

First Name

MANUEL

Last Name

TRIANA

Business Name

MANUEL TRIANA

Original Issue Date

05/21/1976

Effective Date

05/21/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005