BAHATI AISHA FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133055

License Status

NOT RENEWED

Business

First Name

BAHATI

Middle

AISHA

Last Name

FERNANDEZ

Business Name

BAHATI AISHA FERNANDEZ

Original Issue Date

10/11/2000

Effective Date

10/11/2000

Expiration Date

03/31/2003

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005