GERALD D FAGIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024066

License Status

INACTIVE

Business

First Name

GERALD D

Last Name

FAGIN

Business Name

GERALD D FAGIN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

STUDIO CITY

State

Zip

91604

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005