CASANDRA LEE FAVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245106

License Status

NOT RENEWED

Business

First Name

CASANDRA

Middle

LEE

Last Name

FAVA

Business Name

CASANDRA LEE FAVA

Original Issue Date

09/30/2016

Effective Date

03/23/2018

Expiration Date

03/31/2019

City

FOX RIVER GROVE

State

Zip

60021

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/15/2019