VIVIAN FAYE FOGELSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029557

License Status

INACTIVE

Business

First Name

VIVIAN FAYE

Last Name

FOGELSON

Business Name

VIVIAN FAYE FOGELSON

Original Issue Date

07/27/1973

Effective Date

01/11/2010

Expiration Date

03/31/2012

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

01/12/2012