FANTASHA L PETTIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197830

License Status

NOT RENEWED

Business

First Name

FANTASHA

Middle

Last Name

PETTIT

Business Name

FANTASHA L PETTIT

Original Issue Date

04/14/2010

Effective Date

04/14/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011