MARC D ENSALACO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206884

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

ENSALACO

Prefix

Business Name

MARC D ENSALACO

Original Issue Date

09/22/2011

Effective Date

02/11/2013

Expiration Date

03/31/2014

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2014