LANCE EUGENE FANNING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107556

License Status

NOT RENEWED

Business

First Name

LANCE EUGENE

Last Name

FANNING

Business Name

LANCE EUGENE FANNING

Original Issue Date

07/13/1994

Effective Date

07/13/1994

Expiration Date

03/31/2003

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005