RAFFAELLA FASANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070834

License Status

NOT RENEWED

Business

First Name

RAFFAELLA

Last Name

FASANO

Business Name

RAFFAELLA FASANO

Original Issue Date

03/16/1979

Effective Date

03/16/1979

Expiration Date

01/01/1997

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005