BRENDA KAY ANTONACCI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075110

License Status

NOT RENEWED

Business

First Name

BRENDA KAY

Last Name

ANTONACCI

Business Name

BRENDA KAY ANTONACCI

Original Issue Date

07/30/1981

Effective Date

03/09/2018

Expiration Date

03/31/2019

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019