JUAN FONSECA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198610

License Status

NOT RENEWED

Business

First Name

JUAN

Last Name

FONSECA

Prefix

Business Name

JUAN FONSECA

Original Issue Date

05/31/2010

Effective Date

02/29/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017