TINA NGUYEN GANNUSCIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194088

License Status

NOT RENEWED

Business

First Name

TINA

Middle

NGUYEN

Last Name

GANNUSCIO

Business Name

TINA NGUYEN GANNUSCIO

Original Issue Date

09/08/2009

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015