SEAN C ANSELMO - Pharmacist License in Illinois | # 049203540

SEAN C ANSELMO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203540

License Status

NOT RENEWED

Business

N

First Name

SEAN

Middle

C

Last Name

ANSELMO

Business Name

SEAN C ANSELMO

Original Issue Date

04/06/2011

Effective Date

01/18/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014