DANIEL FASULLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172924

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

FASULLO

Business Name

DANIEL FASULLO

Original Issue Date

12/04/2006

Effective Date

08/07/2013

Expiration Date

03/31/2014

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014