ANTHONY PETER PUCILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057730

License Status

NOT RENEWED

Business

First Name

ANTHONY PETER

Last Name

PUCILLO

Business Name

ANTHONY PETER PUCILLO

Original Issue Date

05/16/1972

Effective Date

05/16/1972

Expiration Date

01/01/1997

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005