CONSTANCE L SLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201579

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

SLACK

Business Name

CONSTANCE L SLACK

Original Issue Date

11/16/2010

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013