DONNA I MACIOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075520

License Status

NOT RENEWED

Business

First Name

DONNA I

Last Name

MACIOS

Business Name

DONNA I MACIOS

Original Issue Date

10/16/1981

Effective Date

10/16/1981

Expiration Date

03/31/1984

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005