ISRAEL D BANADERA - Pharmacist License in Illinois | # 049125873

ISRAEL D BANADERA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125873

License Status

NOT RENEWED

Business

N

First Name

ISRAEL

Middle

D

Last Name

BANADERA

Business Name

ISRAEL D BANADERA

Original Issue Date

05/12/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/23/2007