SUSIE C BAHENA - Pharmacist License in Illinois | # 049145108

SUSIE C BAHENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145108

License Status

NOT RENEWED

Business

N

First Name

SUSIE

Middle

C

Last Name

BAHENA

Business Name

SUSIE C BAHENA

Original Issue Date

10/04/2002

Effective Date

10/04/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005