MELISSA M FONSECA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165366

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

FONSECA

Business Name

MELISSA M FONSECA

Original Issue Date

12/05/2005

Effective Date

03/07/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012