ANGELA Y FOUNTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284756

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

FOUNTAIN

Business Name

ANGELA Y FOUNTAIN

Original Issue Date

08/13/2021

Effective Date

08/13/2021

Expiration Date

05/31/2022

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022