DAVID ANTHONY CARCELLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155196

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ANTHONY

Last Name

CARCELLI

Business Name

DAVID ANTHONY CARCELLI

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2005

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005