TERESA LYNETTE VIDALES - Pharmacist License in Illinois | # 049119340

TERESA LYNETTE VIDALES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119340

License Status

NOT RENEWED

Business

N

First Name

TERESA

Middle

LYNETTE

Last Name

VIDALES

Business Name

TERESA LYNETTE VIDALES

Original Issue Date

11/14/1997

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007