ANTHONY G DASTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049049605

License Status

NOT RENEWED

Business

First Name

ANTHONY G

Last Name

DASTA

Business Name

ANTHONY G DASTA

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005