NICHOLAS P FERNANDO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203375

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

FERNANDO

Prefix

Business Name

NICHOLAS P FERNANDO

Original Issue Date

03/28/2011

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

07/15/2019