CAROLYN JEAN HERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114095

License Status

NOT RENEWED

Business

First Name

CAROLYN JEAN

Last Name

HERNANDEZ

Business Name

CAROLYN JEAN HERNANDEZ

Original Issue Date

04/25/1996

Effective Date

04/25/1996

Expiration Date

03/31/1998

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005