DANIEL JOHN FONTANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184911

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

JOHN

Last Name

FONTANA

Business Name

DANIEL JOHN FONTANA

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

03/31/2009

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009