JACAUELYN N FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190056

License Status

NOT RENEWED

Business

First Name

JACAUELYN

Middle

Last Name

FERNANDEZ

Business Name

JACAUELYN N FERNANDEZ

Original Issue Date

03/05/2009

Effective Date

03/04/2011

Expiration Date

03/31/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012