JOSEPH A FASULO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024737

License Status

INACTIVE

Business

First Name

JOSEPH A

Last Name

FASULO

Business Name

JOSEPH A FASULO

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

ALBUQUERQUE

State

Zip

87111

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/17/2005