CLEMENCIA FABIE TELOSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117212

License Status

NOT RENEWED

Business

First Name

CLEMENCIA

Middle

FABIE

Last Name

TELOSA

Business Name

CLEMENCIA FABIE TELOSA

Original Issue Date

04/11/1997

Effective Date

04/11/1997

Expiration Date

03/31/2001

City

DES PLAINES

State

Zip

60016

Ever Disciplined

LastModifiedDate

10/21/2005