MARC ANTHONY FERNANDO - Pharmacist License in Illinois | # 049132956

MARC ANTHONY FERNANDO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132956

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005