NERISSA CONSTANTINO AGUSTIN - Pharmacist License in Illinois | # 049183097

NERISSA CONSTANTINO AGUSTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183097

License Status

NOT RENEWED

Business

N

First Name

NERISSA

Middle

CONSTANTINO

Last Name

AGUSTIN

Business Name

NERISSA CONSTANTINO AGUSTIN

Original Issue Date

03/26/2008

Effective Date

03/26/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009