JANET JABOSUNG FONCHAM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168806

License Status

INACTIVE

Business

First Name

JANET

Middle

JABOSUNG

Last Name

FONCHAM

Business Name

JANET JABOSUNG FONCHAM

Original Issue Date

05/22/2006

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

01/12/2010