MARY ELIZABETH PERRONE KAPUSTA - Pharmacist License in Illinois | # 049115863

MARY ELIZABETH PERRONE KAPUSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115863

License Status

NOT RENEWED

Business

N

First Name

MARY ELIZABETH

Middle

PERRONE

Last Name

KAPUSTA

Business Name

MARY ELIZABETH PERRONE KAPUSTA

Original Issue Date

11/08/1996

Effective Date

11/08/1996

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005