ABRAHAM A FANCO JR MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103401

License Status

NOT RENEWED

Business

First Name

ABRAHAM A

Last Name

FANCO JR

Suffix

Business Name

ABRAHAM A FANCO JR MD

Original Issue Date

05/11/1993

Effective Date

05/11/1993

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005