CHRISTINE DIANE PASSAFIUME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137609

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

DIANE

Last Name

PASSAFIUME

Business Name

CHRISTINE DIANE PASSAFIUME

Original Issue Date

08/08/2001

Effective Date

08/08/2001

Expiration Date

03/31/2005

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005