Desurei Fosado

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049206580

Status

Expired (Not Renewed)

First issued

September 11, 2011

Expired

March 31, 2014

License holder

Desurei Fosado

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

03/04/2013

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