ETHAN J DECOTA - Pharmacist License in Illinois | # 051299675

ETHAN J DECOTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299675

License Status

NOT RENEWED

Business

N

First Name

ETHAN

Middle

J

Last Name

DECOTA

Prefix

MR

Business Name

ETHAN J DECOTA

Original Issue Date

08/04/2016

Effective Date

03/26/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021