BENJAMIN BAUZA LOPEZ - Pharmacist License in Illinois | # 049203053

BENJAMIN BAUZA LOPEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203053

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

BAUZA

Last Name

LOPEZ

Business Name

BENJAMIN BAUZA LOPEZ

Original Issue Date

03/07/2011

Effective Date

03/07/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012