THOMAS J ANTONACCI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233039

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

ANTONACCI

Business Name

THOMAS J ANTONACCI

Original Issue Date

05/13/2015

Effective Date

05/13/2015

Expiration Date

03/31/2016

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

05/20/2016