GUSTAVO BAHENA - Pharmacist License in Illinois | # 049213124

GUSTAVO BAHENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213124

License Status

NOT RENEWED

Business

N

First Name

GUSTAVO

Last Name

BAHENA

Prefix

MR

Business Name

GUSTAVO BAHENA

Original Issue Date

08/27/2012

Effective Date

08/27/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013