COLLEEN MARY FISCELLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128535

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

MARY

Last Name

FISCELLA

Business Name

COLLEEN MARY FISCELLA

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

03/31/2001

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005