DENISE L ANTOSIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112967

License Status

NOT RENEWED

Business

First Name

DENISE L

Last Name

ANTOSIAK

Business Name

DENISE L ANTOSIAK

Original Issue Date

01/16/1996

Effective Date

01/16/1996

Expiration Date

03/31/1999

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005