CHARLIE M FUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216726

License Status

NOT RENEWED

Business

First Name

CHARLIE

Middle

Last Name

FUENTES

Prefix

Business Name

CHARLIE M FUENTES

Original Issue Date

03/24/2013

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015