DOMINIC M FABIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119655

License Status

NOT RENEWED

Business

First Name

DOMINIC

Middle

Last Name

FABIAN

Business Name

DOMINIC M FABIAN

Original Issue Date

12/22/1997

Effective Date

12/22/1997

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005