MARISOL BUSTAMANTE - Pharmacist License in Illinois | # 049267846

MARISOL BUSTAMANTE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267846

License Status

NOT RENEWED

Business

N

First Name

MARISOL

Last Name

BUSTAMANTE

Business Name

MARISOL BUSTAMANTE

Original Issue Date

09/12/2019

Effective Date

09/12/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021