CASSANDRA J DECICCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166151

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

Last Name

DECICCO

Business Name

CASSANDRA J DECICCO

Original Issue Date

01/19/2006

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007