DAVID NASIR FONTANE - Pharmacist License in Illinois | # 049127278

DAVID NASIR FONTANE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127278

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

NASIR

Last Name

FONTANE

Business Name

DAVID NASIR FONTANE

Original Issue Date

09/02/1999

Effective Date

09/02/1999

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005