SAM JOSEPH FANTAUZZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238949

License Status

NOT RENEWED

Business

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

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017