CAPITOLA ANN ALTIZER - Pharmacist License in Illinois | # 049158028

CAPITOLA ANN ALTIZER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158028

License Status

NOT RENEWED

Business

N

First Name

CAPITOLA

Middle

ANN

Last Name

ALTIZER

Business Name

CAPITOLA ANN ALTIZER

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005