ANTHONY VALENTINE FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150334

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

VALENTINE

Last Name

FERNANDEZ

Business Name

ANTHONY VALENTINE FERNANDEZ

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

03/31/2004

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005