KELLY M DE CANIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136797

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

DE CANIO

Business Name

KELLY M DE CANIO

Original Issue Date

06/25/2001

Effective Date

03/06/2015

Expiration Date

03/31/2016

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016