MARC D ENSALACO - Pharmacist License in Illinois | # 049206884

MARC D ENSALACO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206884

License Status

NOT RENEWED

Business

N

First Name

MARC

Middle

D

Last Name

ENSALACO

Prefix

MR

Business Name

MARC D ENSALACO

Original Issue Date

09/22/2011

Effective Date

02/11/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014