SAMUEL BAHENA - Pharmacist License in Illinois | # 049118249

SAMUEL BAHENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118249

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Last Name

BAHENA

Business Name

SAMUEL BAHENA

Original Issue Date

07/24/1997

Effective Date

07/24/1997

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005