MARLENE A MACIAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229244

License Status

NOT RENEWED

Business

First Name

MARLENE

Middle

Last Name

MACIAS

Business Name

MARLENE A MACIAS

Original Issue Date

11/14/2014

Effective Date

03/25/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016