EDWIN FONSECA - Pharmacist License in Illinois | # 049188080

EDWIN FONSECA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188080

License Status

NOT RENEWED

Business

N

First Name

EDWIN

Last Name

FONSECA

Business Name

EDWIN FONSECA

Original Issue Date

10/30/2008

Effective Date

10/30/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009