TERESA MARIA BAHAVEOLOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099985

License Status

NOT RENEWED

Business

First Name

TERESA MARIA

Last Name

BAHAVEOLOS

Business Name

TERESA MARIA BAHAVEOLOS

Original Issue Date

04/28/1992

Effective Date

04/28/1992

Expiration Date

03/31/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005