AMY A PATELLARO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164282

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

PATELLARO

Business Name

AMY A PATELLARO

Original Issue Date

09/30/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007