JODY D FACCHIANO - Pharmacist License in Illinois | # 049105112

JODY D FACCHIANO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105112

License Status

NOT RENEWED

Business

N

First Name

JODY

Middle

D

Last Name

FACCHIANO

Business Name

JODY D FACCHIANO

Original Issue Date

11/02/1993

Effective Date

11/02/1993

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005