MARIONNE CELESTE LEA ICASIANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207638

License Status

NOT RENEWED

Business

First Name

MARIONNE CELESTE LEA

Last Name

ICASIANO

Prefix

Business Name

MARIONNE CELESTE LEA ICASIANO

Original Issue Date

11/05/2011

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

GLENDALE HEIGHTS

State

Zip

60139

Ever Disciplined

LastModifiedDate

05/06/2013