KIMBERLY A FASANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092079

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

FASANA

Business Name

KIMBERLY A FASANA

Original Issue Date

01/24/1990

Effective Date

01/24/1990

Expiration Date

03/31/1991

City

CHAMAPIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005