DANIELLE M FONTENOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093695

License Status

NOT RENEWED

Business

First Name

DANIELLE M

Last Name

FONTENOT

Business Name

DANIELLE M FONTENOT

Original Issue Date

07/03/1990

Effective Date

07/03/1990

Expiration Date

03/31/1992

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005