JUAN M BECERRA - Pharmacist License in Illinois | # 049153578

JUAN M BECERRA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153578

License Status

NOT RENEWED

Business

N

First Name

JUAN

Middle

M

Last Name

BECERRA

Business Name

JUAN M BECERRA

Original Issue Date

03/11/2004

Effective Date

03/11/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005