ANGELA CARLETTA FIETKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164491

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

CARLETTA

Last Name

FIETKO

Business Name

ANGELA CARLETTA FIETKO

Original Issue Date

03/24/2005

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011