DAVID NASIR FONTANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127278

License Status

NOT RENEWED

Business

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

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005