CRYSTLE M FONTANEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208493

License Status

NOT RENEWED

Business

First Name

CRYSTLE

Middle

Last Name

FONTANEZ

Business Name

CRYSTLE M FONTANEZ

Original Issue Date

12/30/2011

Effective Date

03/07/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013