LACY FUENTES - Pharmacist License in Illinois | # 049293167

LACY FUENTES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293167

License Status

NOT RENEWED

Business

N

First Name

LACY

Last Name

FUENTES

Business Name

LACY FUENTES

Original Issue Date

06/10/2022

Effective Date

06/10/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023