EDWARD MATTHEW HERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121895

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

MATTHEW

Last Name

HERNANDEZ

Business Name

EDWARD MATTHEW HERNANDEZ

Original Issue Date

07/09/1998

Effective Date

07/09/1998

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005