MIRTHA M FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068948

License Status

NOT RENEWED

Business

First Name

MIRTHA

Middle

Last Name

FERNANDEZ

Business Name

MIRTHA M FERNANDEZ

Original Issue Date

03/10/1978

Effective Date

03/10/1978

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005