JACKIE BAGNARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062349

License Status

NOT RENEWED

Business

First Name

JACKIE

Last Name

BAGNARA

Business Name

JACKIE BAGNARA

Original Issue Date

10/11/1974

Effective Date

10/11/1974

Expiration Date

01/01/1997

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005