ANTHONY JORDAN BUSTOS - Pharmacist License in Illinois | # 049259734

ANTHONY JORDAN BUSTOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259734

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Middle

JORDAN

Last Name

BUSTOS

Business Name

ANTHONY JORDAN BUSTOS

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019