CHARLENE A IACULLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148855

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

Last Name

IACULLO

Business Name

CHARLENE A IACULLO

Original Issue Date

06/13/2003

Effective Date

04/05/2006

Expiration Date

03/31/2007

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007