JEAN A FAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086061

License Status

NOT RENEWED

Business

First Name

JEAN A

Last Name

FAGAN

Business Name

JEAN A FAGAN

Original Issue Date

02/20/1988

Effective Date

02/20/1988

Expiration Date

03/31/1991

City

PLAINFIELD

State

Zip

60585

Ever Disciplined

LastModifiedDate

10/17/2005