MARIANA MAL - Pharmacist License in Illinois | # 049069839

MARIANA MAL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069839

License Status

NOT RENEWED

Business

N

First Name

MARIANA

Last Name

MAL

Business Name

MARIANA MAL

Original Issue Date

07/28/1978

Effective Date

07/28/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005