ALICIA MARIE ANTONACCI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105349

License Status

NOT RENEWED

Business

First Name

ALICIA MARIE

Last Name

ANTONACCI

Business Name

ALICIA MARIE ANTONACCI

Original Issue Date

11/30/1993

Effective Date

11/30/1993

Expiration Date

03/31/1997

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005