OMAR M AYALA - Pharmacist License in Illinois | # 049093216

OMAR M AYALA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093216

License Status

NOT RENEWED

Business

N

First Name

OMAR M

Last Name

AYALA

Business Name

OMAR M AYALA

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005