JOHN PAUL MASSANISSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136555

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

PAUL

Last Name

MASSANISSO

Business Name

JOHN PAUL MASSANISSO

Original Issue Date

06/04/2001

Effective Date

06/04/2001

Expiration Date

03/31/2002

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005