JUAN FRUTOS - Pharmacist License in Illinois | # 049125242

JUAN FRUTOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125242

License Status

NOT RENEWED

Business

N

First Name

JUAN

Last Name

FRUTOS

Business Name

JUAN FRUTOS

Original Issue Date

03/31/1999

Effective Date

03/31/1999

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005