CARRIE MASILKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062130

License Status

NOT RENEWED

Business

First Name

CARRIE

Last Name

MASILKO

Business Name

CARRIE MASILKO

Original Issue Date

08/23/1974

Effective Date

08/23/1974

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005