ROBERTA L S SONG - Pharmacist License in Illinois | # 049161338

ROBERTA L S SONG

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161338

License Status

INACTIVE

Business

N

First Name

ROBERTA

Middle

L S

Last Name

SONG

Business Name

ROBERTA L S SONG

Original Issue Date

05/25/2005

Effective Date

03/13/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2020