MICHAEL D MASTROIANNI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058671

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

MASTROIANNI

Business Name

MICHAEL D MASTROIANNI

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005