JOSE LOPEZ MAMITES - Pharmacist License in Illinois | # 049148289

JOSE LOPEZ MAMITES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148289

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

LOPEZ

Last Name

MAMITES

Business Name

JOSE LOPEZ MAMITES

Original Issue Date

04/21/2003

Effective Date

04/21/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005