TRACI MARIE BAVA - Pharmacist License in Illinois | # 049132597

TRACI MARIE BAVA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132597

License Status

NOT RENEWED

Business

N

First Name

TRACI

Middle

MARIE

Last Name

BAVA

Business Name

TRACI MARIE BAVA

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005