ELIA ISABEL BRACAMONTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207773

License Status

NOT RENEWED

Business

First Name

ELIA

Middle

ISABEL

Last Name

BRACAMONTES

Business Name

ELIA ISABEL BRACAMONTES

Original Issue Date

11/14/2011

Effective Date

04/02/2013

Expiration Date

03/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014