JESSICA L FONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161653

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

FONG

Business Name

JESSICA L FONG

Original Issue Date

06/13/2005

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60616

Ever Disciplined

LastModifiedDate

05/06/2014