ANGELA A CISCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159529

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

CISCO

Business Name

ANGELA A CISCO

Original Issue Date

03/11/2005

Effective Date

03/11/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006