BENJAMIN FONTANILLA MACATO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157616

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

FONTANILLA

Last Name

MACATO

Business Name

BENJAMIN FONTANILLA MACATO

Original Issue Date

10/27/2004

Effective Date

10/27/2004

Expiration Date

03/31/2006

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006