JUANITA M MACIAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094704

License Status

NOT RENEWED

Business

First Name

JUANITA M

Last Name

MACIAS

Business Name

JUANITA M MACIAS

Original Issue Date

10/10/1990

Effective Date

10/10/1990

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005