OCTAVIO ESPINOSA - Pharmacist License in Illinois | # 049154808

OCTAVIO ESPINOSA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154808

License Status

NOT RENEWED

Business

N

First Name

OCTAVIO

Last Name

ESPINOSA

Business Name

OCTAVIO ESPINOSA

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005