NATHAN T PANGALLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155236

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

PANGALLO

Business Name

NATHAN T PANGALLO

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2005

City

PRAIRIE GROVE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005