YVETTE BAZAN - Pharmacist License in Illinois | # 049125205

YVETTE BAZAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125205

License Status

NOT RENEWED

Business

N

First Name

YVETTE

Last Name

BAZAN

Business Name

YVETTE BAZAN

Original Issue Date

03/29/1999

Effective Date

03/29/1999

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005