FERNANDO DAVID SANTILLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255897

License Status

NOT RENEWED

Business

First Name

FERNANDO

Middle

DAVID

Last Name

SANTILLAN

Business Name

FERNANDO DAVID SANTILLAN

Original Issue Date

01/31/2018

Effective Date

01/31/2018

Expiration Date

03/31/2019

City

EAST CHICAGO

State

Zip

46312

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019