EDWIN FONSECA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188080

License Status

NOT RENEWED

Business

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

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2009