LORA M DEQUILLA - Pharmacist License in Illinois | # 049109751

LORA M DEQUILLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109751

License Status

NOT RENEWED

Business

N

First Name

LORA

Middle

M

Last Name

DEQUILLA

Business Name

LORA M DEQUILLA

Original Issue Date

03/09/1995

Effective Date

03/09/1995

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005