BERNADINE PERCOLIZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217076

License Status

NOT RENEWED

Business

First Name

BERNADINE

Last Name

PERCOLIZA

Business Name

BERNADINE PERCOLIZA

Original Issue Date

04/01/2013

Effective Date

04/01/2013

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2014