SAM JOSEPH FANTAUZZO - Pharmacist License in Illinois | # 049238949

SAM JOSEPH FANTAUZZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238949

License Status

NOT RENEWED

Business

N

First Name

SAM

Middle

JOSEPH

Last Name

FANTAUZZO

Business Name

SAM JOSEPH FANTAUZZO

Original Issue Date

01/16/2016

Effective Date

01/16/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017