JIM P LICANDRO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178850

License Status

INACTIVE

Business

First Name

JIM

Middle

Last Name

LICANDRO

Business Name

JIM P LICANDRO

Original Issue Date

08/30/2007

Effective Date

08/30/2007

Expiration Date

03/31/2008

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

01/10/2008