ZELLA FOUNTIEDERNEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060203

License Status

NOT RENEWED

Business

First Name

ZELLA

Last Name

FOUNTIEDERNEL

Business Name

ZELLA FOUNTIEDERNEL

Original Issue Date

09/07/1973

Effective Date

09/07/1973

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005