CRYSTLE M FONTANEZ - Pharmacist License in Illinois | # 049208493

CRYSTLE M FONTANEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208493

License Status

NOT RENEWED

Business

N

First Name

CRYSTLE

Middle

M

Last Name

FONTANEZ

Business Name

CRYSTLE M FONTANEZ

Original Issue Date

12/30/2011

Effective Date

03/07/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013