DEOGRACIAS ANTONIO PAN REMO III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148922

License Status

NOT RENEWED

Business

First Name

DEOGRACIAS

Middle

ANTONIO PAN

Last Name

REMO

Suffix

III

Business Name

DEOGRACIAS ANTONIO PAN REMO III

Original Issue Date

06/13/2003

Effective Date

06/13/2003

Expiration Date

03/31/2005

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005