SCOTT FANCIULLO - Pharmacist License in Illinois | # 051027925

SCOTT FANCIULLO

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027925

License Status

INACTIVE

Business

N

First Name

SCOTT

Last Name

FANCIULLO

Business Name

SCOTT FANCIULLO

Original Issue Date

07/25/1969

Effective Date

01/17/2012

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2014