DAVID A FANELLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074045

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

FANELLA

Business Name

DAVID A FANELLA

Original Issue Date

01/06/1981

Effective Date

01/06/1981

Expiration Date

03/31/1982

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005