CONCEPCION MEDALLE - Pharmacist License in Illinois | # 049101631

CONCEPCION MEDALLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101631

License Status

NOT RENEWED

Business

N

First Name

CONCEPCION

Last Name

MEDALLE

Business Name

CONCEPCION MEDALLE

Original Issue Date

11/02/1992

Effective Date

11/02/1992

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005