BRENDA S FISK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069035

License Status

NOT RENEWED

Business

First Name

BRENDA S

Last Name

FISK

Business Name

BRENDA S FISK

Original Issue Date

03/24/1978

Effective Date

03/24/1978

Expiration Date

03/31/1984

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005