DINA JO FASSERO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072329

License Status

NOT RENEWED

Business

First Name

DINA JO

Last Name

FASSERO

Business Name

DINA JO FASSERO

Original Issue Date

01/02/1980

Effective Date

01/02/1980

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005