KRISTY GAIL FAZIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103996

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

GAIL

Last Name

FAZIO

Business Name

KRISTY GAIL FAZIO

Original Issue Date

07/13/1993

Effective Date

02/07/2013

Expiration Date

03/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014