FANTA ELISE LIDDELL - Pharmacist License in Illinois | # 049150684

FANTA ELISE LIDDELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150684

License Status

NOT RENEWED

Business

N

First Name

FANTA

Middle

ELISE

Last Name

LIDDELL

Business Name

FANTA ELISE LIDDELL

Original Issue Date

09/19/2003

Effective Date

09/19/2003

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006