CHARLENE A IACULLO - Pharmacist License in Illinois | # 049148855

CHARLENE A IACULLO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148855

License Status

NOT RENEWED

Business

N

First Name

CHARLENE

Middle

A

Last Name

IACULLO

Business Name

CHARLENE A IACULLO

Original Issue Date

06/13/2003

Effective Date

04/05/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007