ANA P FUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158308

License Status

NOT RENEWED

Business

First Name

ANA

Middle

Last Name

FUENTES

Business Name

ANA P FUENTES

Original Issue Date

12/13/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008