TERRENCE MIQUEL FOUNTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113539

License Status

NOT RENEWED

Business

First Name

TERRENCE MIQUEL

Last Name

FOUNTAIN

Business Name

TERRENCE MIQUEL FOUNTAIN

Original Issue Date

02/27/1996

Effective Date

03/19/2021

Expiration Date

05/31/2022

City

AURORA

State

Zip

60502

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022