CHANCELLOR E MUCCIANTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161820

License Status

NOT RENEWED

Business

First Name

CHANCELLOR

Middle

Last Name

MUCCIANTE

Business Name

CHANCELLOR E MUCCIANTE

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

03/31/2006

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006