MITCHELL R CANCILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149790

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

Last Name

CANCILLER

Business Name

MITCHELL R CANCILLER

Original Issue Date

08/13/2003

Effective Date

08/13/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005