MARC ANTHONY FERNANDO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132956

License Status

NOT RENEWED

Business

First Name

MARC

Middle

ANTHONY

Last Name

FERNANDO

Business Name

MARC ANTHONY FERNANDO

Original Issue Date

10/05/2000

Effective Date

10/05/2000

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005