FERNANI M FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128976

License Status

NOT RENEWED

Business

First Name

FERNANI

Middle

Last Name

FERNANDEZ

Business Name

FERNANI M FERNANDEZ

Original Issue Date

01/18/2000

Effective Date

01/18/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005