DAWN MARIE FENELON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109795

License Status

NOT RENEWED

Business

First Name

DAWN MARIE

Last Name

FENELON

Business Name

DAWN MARIE FENELON

Original Issue Date

03/13/1995

Effective Date

03/13/1995

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005