WYATT FODERARO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237753

License Status

NOT RENEWED

Business

First Name

WYATT

Last Name

FODERARO

Business Name

WYATT FODERARO

Original Issue Date

11/18/2015

Effective Date

11/18/2015

Expiration Date

03/31/2016

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016