Rafael Formeza Jr
ExpiredIllinois license 049119837
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049119837
- Status
- Expired (Not Renewed)
- First issued
- January 13, 1998
- Expired
- March 31, 2016
- License holder
- Rafael Formeza Jr
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/13/2015
Contact
West New York, NJ 07093
New Jersey County