CONNIE J FOGG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081491

License Status

NOT RENEWED

Business

First Name

CONNIE J

Last Name

FOGG

Business Name

CONNIE J FOGG

Original Issue Date

08/09/1985

Effective Date

08/09/1985

Expiration Date

03/31/1987

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005