JENNIFER T ANTONIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156174

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

ANTONIO

Business Name

JENNIFER T ANTONIO

Original Issue Date

07/26/2004

Effective Date

07/26/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005