KELLY M DE CANIO Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051298728

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

DE CANIO

Business Name

KELLY M DE CANIO

Original Issue Date

07/29/2015

Effective Date

03/23/2024

Expiration Date

03/31/2026

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/30/2026