BENJAMIN FONTANILLA MACATO - Pharmacist License in Illinois | # 049157616

BENJAMIN FONTANILLA MACATO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157616

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

FONTANILLA

Last Name

MACATO

Business Name

BENJAMIN FONTANILLA MACATO

Original Issue Date

10/27/2004

Effective Date

10/27/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006