RAPHAEL ANTONIO AMOA - Pharmacist License in Illinois | # 049265080

RAPHAEL ANTONIO AMOA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265080

License Status

NOT RENEWED

Business

N

First Name

RAPHAEL

Middle

ANTONIO

Last Name

AMOA

Business Name

RAPHAEL ANTONIO AMOA

Original Issue Date

05/03/2019

Effective Date

01/14/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021