ZACHERY R DEGONIA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201951

License Status

INACTIVE

Business

First Name

ZACHERY

Middle

Last Name

DEGONIA

Business Name

ZACHERY R DEGONIA

Original Issue Date

12/15/2010

Effective Date

01/19/2012

Expiration Date

03/31/2013

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/03/2013