ALEXANDER DE LA FUENTE - Pharmacist License in Illinois | # 049202339

ALEXANDER DE LA FUENTE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202339

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012