SCOTT FANCIULLO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027925

License Status

INACTIVE

Business

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

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/09/2014