NELLY SOPHIA FONAREV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265611

License Status

NOT RENEWED

Business

First Name

NELLY

Middle

SOPHIA

Last Name

FONAREV

Business Name

NELLY SOPHIA FONAREV

Original Issue Date

05/28/2019

Effective Date

05/28/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021