LAILANI ELUMBA BACCAY - Pharmacist License in Illinois | # 049149609

LAILANI ELUMBA BACCAY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149609

License Status

NOT RENEWED

Business

N

First Name

LAILANI

Middle

ELUMBA

Last Name

BACCAY

Business Name

LAILANI ELUMBA BACCAY

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005