ENRIQUE JOSE ANZA - Pharmacist License in Illinois | # 049140102

ENRIQUE JOSE ANZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140102

License Status

NOT RENEWED

Business

N

First Name

ENRIQUE

Middle

JOSE

Last Name

ANZA

Business Name

ENRIQUE JOSE ANZA

Original Issue Date

01/17/2002

Effective Date

02/14/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014