ANGIE MARIE FACCIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070911

License Status

NOT RENEWED

Business

First Name

ANGIE MARIE

Last Name

FACCIN

Business Name

ANGIE MARIE FACCIN

Original Issue Date

03/30/1979

Effective Date

03/30/1979

Expiration Date

03/31/1984

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005