CLAUDIA FUENTES - Pharmacist License in Illinois | # 049155664

CLAUDIA FUENTES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155664

License Status

NOT RENEWED

Business

N

First Name

CLAUDIA

Last Name

FUENTES

Business Name

CLAUDIA FUENTES

Original Issue Date

06/24/2004

Effective Date

03/11/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011