ANASTACIA JOSEPHINE CAMPBELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261103

License Status

NOT RENEWED

Business

First Name

ANASTACIA

Middle

JOSEPHINE

Last Name

CAMPBELL

Business Name

ANASTACIA JOSEPHINE CAMPBELL

Original Issue Date

10/26/2018

Effective Date

10/26/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019