MAYA LENA FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138982

License Status

NOT RENEWED

Business

First Name

MAYA

Middle

LENA

Last Name

FERNANDEZ

Business Name

MAYA LENA FERNANDEZ

Original Issue Date

11/01/2001

Effective Date

03/17/2014

Expiration Date

03/31/2015

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015