EDWIN F CRISOSTOMO - Pharmacist License in Illinois | # 049154074

EDWIN F CRISOSTOMO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154074

License Status

NOT RENEWED

Business

N

First Name

EDWIN

Middle

F

Last Name

CRISOSTOMO

Business Name

EDWIN F CRISOSTOMO

Original Issue Date

04/15/2004

Effective Date

04/15/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006