ANGELICA MARIA FUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146134

License Status

NOT RENEWED

Business

First Name

ANGELICA

Middle

MARIA

Last Name

FUENTES

Business Name

ANGELICA MARIA FUENTES

Original Issue Date

11/27/2002

Effective Date

11/27/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005