PATRIA P FERMIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100440

License Status

NOT RENEWED

Business

First Name

PATRIA P

Last Name

FERMIN

Business Name

PATRIA P FERMIN

Original Issue Date

06/17/1992

Effective Date

06/17/1992

Expiration Date

03/31/1995

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005