ETHAN J DECOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210143

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

DECOTA

Prefix

Business Name

ETHAN J DECOTA

Original Issue Date

04/04/2012

Effective Date

03/08/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017