ASA F FISK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148400

License Status

NOT RENEWED

Business

First Name

ASA

Middle

Last Name

FISK

Business Name

ASA F FISK

Original Issue Date

04/30/2003

Effective Date

04/30/2003

Expiration Date

03/31/2005

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005