GLEN E DE GUZMAN - Pharmacist License in Illinois | # 049139405

GLEN E DE GUZMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139405

License Status

NOT RENEWED

Business

N

First Name

GLEN

Middle

E

Last Name

DE GUZMAN

Business Name

GLEN E DE GUZMAN

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005