JULIE J VICENCIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072622

License Status

NOT RENEWED

Business

First Name

JULIE J

Last Name

VICENCIO

Business Name

JULIE J VICENCIO

Original Issue Date

02/29/1980

Effective Date

02/29/1980

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005