ANTHONY L FONSECA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161726

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

FONSECA

Business Name

ANTHONY L FONSECA

Original Issue Date

06/15/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008