RICHARD E PENTICOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125080

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

PENTICOFF

Business Name

RICHARD E PENTICOFF

Original Issue Date

03/22/1999

Effective Date

03/22/1999

Expiration Date

03/31/2001

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/21/2005