KYLE R ANTONACCI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199342

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

ANTONACCI

Business Name

KYLE R ANTONACCI

Original Issue Date

07/09/2010

Effective Date

02/27/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013