MARCIA VIOLETA FUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139793

License Status

NOT RENEWED

Business

First Name

MARCIA

Middle

VIOLETA

Last Name

FUENTES

Business Name

MARCIA VIOLETA FUENTES

Original Issue Date

01/04/2002

Effective Date

01/04/2002

Expiration Date

03/31/2003

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005