JOSEPHINE MARLEN DECIANNI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063552

License Status

NOT RENEWED

Business

First Name

JOSEPHINE MARLEN

Last Name

DECIANNI

Business Name

JOSEPHINE MARLEN DECIANNI

Original Issue Date

05/30/1975

Effective Date

05/30/1975

Expiration Date

01/01/1997

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005