KATHRYNE M FAGG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077140

License Status

NOT RENEWED

Business

First Name

KATHRYNE M

Last Name

FAGG

Business Name

KATHRYNE M FAGG

Original Issue Date

10/15/1982

Effective Date

10/15/1982

Expiration Date

03/31/1984

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005