JAKE D FANIZZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258412

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

Last Name

FANIZZA

Business Name

JAKE D FANIZZA

Original Issue Date

06/07/2018

Effective Date

06/07/2018

Expiration Date

03/31/2019

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019