ANDREW S FAZEKAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145868

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

FAZEKAS

Business Name

ANDREW S FAZEKAS

Original Issue Date

11/15/2002

Effective Date

11/15/2002

Expiration Date

03/31/2004

City

STRATFORD

State

Zip

06614

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/20/2005