VALERIAN DOMINIC FERNANDES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138995

License Status

NOT RENEWED

Business

First Name

VALERIAN

Middle

DOMINIC

Last Name

FERNANDES

Business Name

VALERIAN DOMINIC FERNANDES

Original Issue Date

11/01/2001

Effective Date

07/03/2006

Expiration Date

03/31/2007

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007