ROBERT M ANTONACCI Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063701

License Status

CANCELLED

Business

First Name

ROBERT M

Last Name

ANTONACCI

Business Name

ROBERT M ANTONACCI

Original Issue Date

06/20/1975

Effective Date

06/20/1975

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005