JUSTIN RAYMOND EKWALL - Pharmacist License in Illinois | # 049143056

JUSTIN RAYMOND EKWALL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143056

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

RAYMOND

Last Name

EKWALL

Business Name

JUSTIN RAYMOND EKWALL

Original Issue Date

06/10/2002

Effective Date

06/10/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005