EDIAN BANUELOS - Pharmacist License in Illinois | # 049210110

EDIAN BANUELOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210110

License Status

NOT RENEWED

Business

N

First Name

EDIAN

Last Name

BANUELOS

Prefix

MR

Business Name

EDIAN BANUELOS

Original Issue Date

04/03/2012

Effective Date

01/22/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021