STEPHANIE PASSALACQUA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223414

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Last Name

PASSALACQUA

Business Name

STEPHANIE PASSALACQUA

Original Issue Date

02/14/2014

Effective Date

02/14/2014

Expiration Date

03/31/2015

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/11/2015