MARIA CECILIA C FORTUGALEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104314

License Status

NOT RENEWED

Business

First Name

MARIA CECILIA C

Last Name

FORTUGALEZA

Business Name

MARIA CECILIA C FORTUGALEZA

Original Issue Date

08/23/1993

Effective Date

08/23/1993

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005