CHRISTINE MARIE FAVIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158429

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

FAVIA

Business Name

CHRISTINE MARIE FAVIA

Original Issue Date

12/17/2004

Effective Date

12/17/2004

Expiration Date

03/31/2006

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006