MARK A FANTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112550

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

FANTER

Business Name

MARK A FANTER

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

03/31/1996

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005