CARLY A D'AGOSTINO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165439

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

D'AGOSTINO

Business Name

CARLY A D'AGOSTINO

Original Issue Date

12/07/2005

Effective Date

04/04/2012

Expiration Date

03/31/2013

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013