MARY MICHELLE BONINO Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061180

License Status

CANCELLED

Business

First Name

MARY MICHELLE

Last Name

BONINO

Business Name

MARY MICHELLE BONINO

Original Issue Date

03/29/1974

Effective Date

03/29/1974

Expiration Date

01/01/1997

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005