DOMINIC V FATTA - Pharmacist License in Indiana | # 051025900

DOMINIC V FATTA

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025900

License Status

INACTIVE

Business

N

First Name

DOMINIC V

Last Name

FATTA

Business Name

DOMINIC V FATTA

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005