PRISCILLA T CONCHA - Pharmacist License in Illinois | # 049154681

PRISCILLA T CONCHA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154681

License Status

NOT RENEWED

Business

N

First Name

PRISCILLA

Middle

T

Last Name

CONCHA

Business Name

PRISCILLA T CONCHA

Original Issue Date

05/28/2004

Effective Date

09/17/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010