ERICA C BAEZA - Pharmacist License in Illinois | # 049156104

ERICA C BAEZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156104

License Status

NOT RENEWED

Business

N

First Name

ERICA

Middle

C

Last Name

BAEZA

Business Name

ERICA C BAEZA

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005