DOMINICK JOSEPH CENTRACCHIO - Pharmacist License in Illinois | # 049154822

DOMINICK JOSEPH CENTRACCHIO

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154822

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008