RANDY P BASILIIO - Pharmacist License in Illinois | # 049180416

RANDY P BASILIIO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180416

License Status

NOT RENEWED

Business

N

First Name

RANDY

Middle

P

Last Name

BASILIIO

Business Name

RANDY P BASILIIO

Original Issue Date

11/07/2007

Effective Date

11/07/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008