ANGELIC FONSECA - Pharmacist License in Illinois | # 049201233

ANGELIC FONSECA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201233

License Status

NOT RENEWED

Business

N

First Name

ANGELIC

Last Name

FONSECA

Prefix

MR

Business Name

ANGELIC FONSECA

Original Issue Date

10/25/2010

Effective Date

03/27/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016