AELADDA FASANAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160211

License Status

NOT RENEWED

Business

First Name

AELADDA

Last Name

FASANAN

Business Name

AELADDA FASANAN

Original Issue Date

04/14/2005

Effective Date

04/14/2005

Expiration Date

03/31/2006

City

CREST HILL

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006