MICHAEL B FANIA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051041142

License Status

ACTIVE

Business

First Name

MICHAEL B

Last Name

FANIA

Business Name

MICHAEL B FANIA

Original Issue Date

10/22/1996

Effective Date

01/23/2024

Expiration Date

03/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026