MARCO ANTHONY IACSIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117407

License Status

NOT RENEWED

Business

First Name

MARCO

Middle

ANTHONY

Last Name

IACSIN

Business Name

MARCO ANTHONY IACSIN

Original Issue Date

04/25/1997

Effective Date

04/25/1997

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005