JACK ANTHONY FABRIS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064728

License Status

CANCELLED

Business

First Name

JACK ANTHONY

Last Name

FABRIS

Business Name

JACK ANTHONY FABRIS

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2007