DANIEL E FONCHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228121

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

FONCHAM

Prefix

Business Name

DANIEL E FONCHAM

Original Issue Date

09/25/2014

Effective Date

09/25/2014

Expiration Date

03/31/2015

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2015