ALEXANDER DE LA FUENTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202339

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Last Name

DE LA FUENTE

Business Name

ALEXANDER DE LA FUENTE

Original Issue Date

01/18/2011

Effective Date

01/18/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012