JONATHAN MICHAEL LAFASTU - Pharmacist License in Illinois | # 049155878

JONATHAN MICHAEL LAFASTU

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155878

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005