MICHAEL ANTHONY DEFAZIO - Pharmacist License in Illinois | # 049271746

MICHAEL ANTHONY DEFAZIO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271746

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

ANTHONY

Last Name

DEFAZIO

Business Name

MICHAEL ANTHONY DEFAZIO

Original Issue Date

03/24/2020

Effective Date

03/24/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021