DOMINICK FASHODA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061656

License Status

NOT RENEWED

Business

First Name

DOMINICK

Last Name

FASHODA

Business Name

DOMINICK FASHODA

Original Issue Date

06/14/1974

Effective Date

06/14/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005