JOSE ALDECOA DIZON - Pharmacist License in Illinois | # 049158155

JOSE ALDECOA DIZON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158155

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

ALDECOA

Last Name

DIZON

Business Name

JOSE ALDECOA DIZON

Original Issue Date

12/06/2004

Effective Date

11/01/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008