GLADYS ISELA MENA - Pharmacist License in Illinois | # 049102415

GLADYS ISELA MENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102415

License Status

NOT RENEWED

Business

N

First Name

GLADYS

Middle

ISELA

Last Name

MENA

Business Name

GLADYS ISELA MENA

Original Issue Date

02/11/1993

Effective Date

02/11/1993

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005