MAR L NATIVIDAD - Pharmacist License in Illinois | # 049069883

MAR L NATIVIDAD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069883

License Status

NOT RENEWED

Business

N

First Name

MAR L

Last Name

NATIVIDAD

Business Name

MAR L NATIVIDAD

Original Issue Date

08/07/1978

Effective Date

08/07/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005