JAKE D FANIZZA - Pharmacist License in Illinois | # 049258412

JAKE D FANIZZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258412

License Status

NOT RENEWED

Business

N

First Name

JAKE

Middle

D

Last Name

FANIZZA

Business Name

JAKE D FANIZZA

Original Issue Date

06/07/2018

Effective Date

06/07/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019