DANIEL BUSTAMANTE - Pharmacist License in Illinois | # 049257094

DANIEL BUSTAMANTE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257094

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Last Name

BUSTAMANTE

Business Name

DANIEL BUSTAMANTE

Original Issue Date

03/29/2018

Effective Date

03/29/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019