FANTAZJA PAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268887

License Status

NOT RENEWED

Business

First Name

FANTAZJA

Last Name

PAGAN

Business Name

FANTAZJA PAGAN

Original Issue Date

10/28/2019

Effective Date

03/04/2021

Expiration Date

05/31/2022

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022