GRACE FERRER CANONIGO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194335

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

FERRER

Last Name

CANONIGO

Business Name

GRACE FERRER CANONIGO

Original Issue Date

09/18/2009

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012