ZACHERY R DEGONIA - Pharmacist License in Illinois | # 049201951

ZACHERY R DEGONIA

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201951

License Status

INACTIVE

Business

N

First Name

ZACHERY

Middle

R

Last Name

DEGONIA

Business Name

ZACHERY R DEGONIA

Original Issue Date

12/15/2010

Effective Date

01/19/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2013