IFAN P DSOUZA - Pharmacist License in Illinois | # 049165182

IFAN P DSOUZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165182

License Status

NOT RENEWED

Business

N

First Name

IFAN

Middle

P

Last Name

DSOUZA

Business Name

IFAN P DSOUZA

Original Issue Date

11/23/2005

Effective Date

11/23/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006