CECILIO O MERCOLEZA - Pharmacist License in Illinois | # 049147816

CECILIO O MERCOLEZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147816

License Status

NOT RENEWED

Business

N

First Name

CECILIO

Middle

O

Last Name

MERCOLEZA

Business Name

CECILIO O MERCOLEZA

Original Issue Date

04/03/2003

Effective Date

04/03/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005