HENRY R CIACCIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116843

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

Last Name

CIACCIA

Business Name

HENRY R CIACCIA

Original Issue Date

03/18/1997

Effective Date

03/18/1997

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005