BENJAMIN GARCILAZO - Pharmacist License in Illinois | # 049176121

BENJAMIN GARCILAZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176121

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Last Name

GARCILAZO

Business Name

BENJAMIN GARCILAZO

Original Issue Date

05/03/2007

Effective Date

01/28/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010