JONATHAN MICHAEL LAFASTU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155878

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

MICHAEL

Last Name

LAFASTU

Business Name

JONATHAN MICHAEL LAFASTU

Original Issue Date

06/30/2004

Effective Date

06/30/2004

Expiration Date

03/31/2005

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005