ANTONIA M GALVAN - Pharmacist License in Illinois | # 049157914

ANTONIA M GALVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157914

License Status

NOT RENEWED

Business

N

First Name

ANTONIA

Middle

M

Last Name

GALVAN

Business Name

ANTONIA M GALVAN

Original Issue Date

11/17/2004

Effective Date

11/17/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005