MARY RUTH FAGLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062633

License Status

NOT RENEWED

Business

First Name

MARY RUTH

Last Name

FAGLE

Business Name

MARY RUTH FAGLE

Original Issue Date

12/06/1974

Effective Date

12/06/1974

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005