FRED A BANASCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

ASSISTANT PHARMACIST

License Number

050008623

License Status

NOT RENEWED

Business

First Name

FRED A

Last Name

BANASCH

Business Name

FRED A BANASCH

Original Issue Date

01/01/1998

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005