CHARMAINE D CUSTODIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155501

License Status

NOT RENEWED

Business

First Name

CHARMAINE

Middle

Last Name

CUSTODIO

Business Name

CHARMAINE D CUSTODIO

Original Issue Date

06/22/2004

Effective Date

03/29/2017

Expiration Date

03/31/2018

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018