MARY BARTA FIVIZZANI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035309

License Status

INACTIVE

Business

First Name

MARY BARTA

Last Name

FIVIZZANI

Business Name

MARY BARTA FIVIZZANI

Original Issue Date

08/31/1984

Effective Date

02/03/2012

Expiration Date

03/31/2014

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

01/09/2014