ANTONIO DEANDRE CUMMINGS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147344

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

DEANDRE

Last Name

CUMMINGS

Business Name

ANTONIO DEANDRE CUMMINGS

Original Issue Date

03/06/2003

Effective Date

03/06/2003

Expiration Date

03/31/2006

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/11/2006