LUIS H ESCAMILLA - Pharmacist License in Illinois | # 049140112

LUIS H ESCAMILLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140112

License Status

NOT RENEWED

Business

N

First Name

LUIS

Middle

H

Last Name

ESCAMILLA

Business Name

LUIS H ESCAMILLA

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005