JODY D FACCHIANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105112

License Status

NOT RENEWED

Business

First Name

JODY

Middle

Last Name

FACCHIANO

Business Name

JODY D FACCHIANO

Original Issue Date

11/02/1993

Effective Date

11/02/1993

Expiration Date

03/31/1994

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005