THALIA A ANASTASIA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026012

License Status

INACTIVE

Business

First Name

THALIA A

Last Name

ANASTASIA

Business Name

THALIA A ANASTASIA

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/10/2008