MICHELLE M FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124333

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

FERNANDEZ

Business Name

MICHELLE M FERNANDEZ

Original Issue Date

12/29/1998

Effective Date

12/29/1998

Expiration Date

03/31/2004

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005