ZELLA FOUNTIEDERNEL - Pharmacist License in Illinois | # 049060203

ZELLA FOUNTIEDERNEL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060203

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005