FANTA A OCHOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245054

License Status

NOT RENEWED

Business

First Name

FANTA

Middle

Last Name

OCHOA

Prefix

Business Name

FANTA A OCHOA

Original Issue Date

09/28/2016

Effective Date

09/28/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017