SERGIO VILLICANA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206790

License Status

NOT RENEWED

Business

First Name

SERGIO

Last Name

VILLICANA

Suffix

Business Name

SERGIO VILLICANA JR

Original Issue Date

09/20/2011

Effective Date

02/06/2012

Expiration Date

03/31/2013

City

WHITING

State

Zip

46394

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2013