ELMER S BUNGAG - Pharmacist License in Illinois | # 049155979

ELMER S BUNGAG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155979

License Status

NOT RENEWED

Business

N

First Name

ELMER

Middle

S

Last Name

BUNGAG

Business Name

ELMER S BUNGAG

Original Issue Date

07/07/2004

Effective Date

07/07/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006