WANDA S CORONEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167620

License Status

INACTIVE

Business

First Name

WANDA

Middle

Last Name

CORONEL

Business Name

WANDA S CORONEL

Original Issue Date

04/11/2006

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/09/2014