DAVID GUILLEN FUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295526

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

GUILLEN

Last Name

FUENTES

Business Name

DAVID GUILLEN FUENTES

Original Issue Date

01/05/2012

Effective Date

01/05/2012

Expiration Date

03/31/2014

City

HILLSBORO

State

Zip

97124

County

OREGON

Ever Disciplined

LastModifiedDate

05/06/2014