ANDREA JULIANNA FUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292861

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

JULIANNA

Last Name

FUENTES

Business Name

ANDREA JULIANNA FUENTES

Original Issue Date

06/01/2022

Effective Date

06/01/2022

Expiration Date

03/31/2023

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023