NATALIE A CIACCIO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290148

License Status

INACTIVE

Business

First Name

NATALIE

Middle

Last Name

CIACCIO

Business Name

NATALIE A CIACCIO

Original Issue Date

08/31/2004

Effective Date

02/14/2012

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/09/2014