CINDERELLA DERMAWAN - Pharmacist License in Illinois | # 049131663

CINDERELLA DERMAWAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131663

License Status

NOT RENEWED

Business

N

First Name

CINDERELLA

Last Name

DERMAWAN

Business Name

CINDERELLA DERMAWAN

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005