DOMINIC V FATTA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025900

License Status

INACTIVE

Business

First Name

DOMINIC V

Last Name

FATTA

Business Name

DOMINIC V FATTA

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

ALEXANDRIA

State

Zip

46001

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005