PATRICK JOSEPH MEDINA - Pharmacist License in Illinois | # 051041141

PATRICK JOSEPH MEDINA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051041141

License Status

NOT RENEWED

Business

N

First Name

PATRICK JOSEPH

Last Name

MEDINA

Business Name

PATRICK JOSEPH MEDINA

Original Issue Date

10/22/1996

Effective Date

10/22/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005