DAVID GUILLEN FUENTES - Pharmacist License in Oregon | # 051295526

DAVID GUILLEN FUENTES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295526

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

GUILLEN

Last Name

FUENTES

Business Name

DAVID GUILLEN FUENTES

Original Issue Date

01/05/2012

Effective Date

01/05/2012

Expiration Date

03/31/2014

State

OR

Ever Disciplined

N

LastModifiedDate

05/06/2014