LISA RENNAE FOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163430

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENNAE

Last Name

FOTA

Business Name

LISA RENNAE FOTA

Original Issue Date

09/01/2005

Effective Date

06/30/2016

Expiration Date

03/31/2017

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017