MARK RONALD FONTANOZA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264004

License Status

ACTIVE

Business

First Name

MARK

Middle

RONALD

Last Name

FONTANOZA

Business Name

MARK RONALD FONTANOZA

Original Issue Date

04/04/2019

Effective Date

03/26/2026

Expiration Date

03/31/2027

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/26/2026