ABRAHAM A FANCO JR MD - Pharmacist License in Illinois | # 049103401

ABRAHAM A FANCO JR MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103401

License Status

NOT RENEWED

Business

N

First Name

ABRAHAM A

Last Name

FANCO JR

Suffix

MD

Business Name

ABRAHAM A FANCO JR MD

Original Issue Date

05/11/1993

Effective Date

05/11/1993

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005