DEBRA L FOSSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094843

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

FOSSE

Business Name

DEBRA L FOSSE

Original Issue Date

10/27/1990

Effective Date

02/09/2015

Expiration Date

03/31/2016

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/20/2016