BRIAN D FERNANDEZ - Pharmacist License in Illinois | # 049102396

BRIAN D FERNANDEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102396

License Status

NOT RENEWED

Business

N

First Name

BRIAN D

Last Name

FERNANDEZ

Business Name

BRIAN D FERNANDEZ

Original Issue Date

02/09/1993

Effective Date

02/09/1993

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005