NOAH ANTHONY FATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253446

License Status

NOT RENEWED

Business

First Name

NOAH

Middle

ANTHONY

Last Name

FATA

Business Name

NOAH ANTHONY FATA

Original Issue Date

09/28/2017

Effective Date

02/01/2024

Expiration Date

03/31/2025

City

ST.CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

07/08/2025