CORMAC BUE-ASCENCIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222607

License Status

NOT RENEWED

Business

First Name

CORMAC

Last Name

BUE-ASCENCIO

Business Name

CORMAC BUE-ASCENCIO

Original Issue Date

12/23/2013

Effective Date

03/13/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015