NELSON A FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059691

License Status

NOT RENEWED

Business

First Name

NELSON A

Last Name

FERNANDEZ

Business Name

NELSON A FERNANDEZ

Original Issue Date

06/15/1973

Effective Date

06/15/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005