CHARLES M FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159447

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

FERNANDEZ

Business Name

CHARLES M FERNANDEZ

Original Issue Date

03/02/2005

Effective Date

03/28/2012

Expiration Date

03/31/2013

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013