FRED G ILESANMI - Pharmacist License in Illinois | # 049155153

FRED G ILESANMI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155153

License Status

NOT RENEWED

Business

N

First Name

FRED

Middle

G

Last Name

ILESANMI

Business Name

FRED G ILESANMI

Original Issue Date

06/15/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008