ERNESTO DANIEL CIFUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259074

License Status

NOT RENEWED

Business

First Name

ERNESTO

Middle

DANIEL

Last Name

CIFUENTES

Business Name

ERNESTO DANIEL CIFUENTES

Original Issue Date

08/09/2018

Effective Date

03/28/2019

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021