DANIEL ADRIAN MAYORGA - Pharmacist License in Illinois | # 049136020

DANIEL ADRIAN MAYORGA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136020

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

ADRIAN

Last Name

MAYORGA

Business Name

DANIEL ADRIAN MAYORGA

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005