JUSTIN M LICITIS - Pharmacist License in Illinois | # 049123979

JUSTIN M LICITIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123979

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

M

Last Name

LICITIS

Business Name

JUSTIN M LICITIS

Original Issue Date

12/01/1998

Effective Date

12/01/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005