DANIEL FASULLO - Pharmacist License in Illinois | # 049172924

DANIEL FASULLO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172924

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014