JOSE M HERNANDEZ - Pharmacist License in Illinois | # 097001820

JOSE M HERNANDEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001820

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

M

Last Name

HERNANDEZ

Business Name

JOSE M HERNANDEZ

Original Issue Date

01/17/2012

Effective Date

11/28/2018

Expiration Date

12/31/2020

State

IL

Specialty/Qualifier

SOLE PROPRIETOR

Controlled Substance Schedule

II III IV

Ever Disciplined

N

LastModifiedDate

03/11/2021