NATALIE A CIACCIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119528

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

CIACCIO

Business Name

NATALIE A CIACCIO

Original Issue Date

12/05/1997

Effective Date

12/05/1997

Expiration Date

03/31/2001

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005