ANA P FUENTES - Pharmacist License in Illinois | # 049158308

ANA P FUENTES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158308

License Status

NOT RENEWED

Business

N

First Name

ANA

Middle

P

Last Name

FUENTES

Business Name

ANA P FUENTES

Original Issue Date

12/13/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008