LUISITO R BASIT - Pharmacist License in Illinois | # 049084008

LUISITO R BASIT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084008

License Status

NOT RENEWED

Business

N

First Name

LUISITO R

Last Name

BASIT

Business Name

LUISITO R BASIT

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

03/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005