DOMINICK JOSEPH CENTRACCHIO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154822

License Status

INACTIVE

Business

First Name

DOMINICK

Middle

JOSEPH

Last Name

CENTRACCHIO

Business Name

DOMINICK JOSEPH CENTRACCHIO

Original Issue Date

06/08/2004

Effective Date

01/08/2007

Expiration Date

03/31/2008

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

01/10/2008