LACIE ANNE FANNING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133382

License Status

NOT RENEWED

Business

First Name

LACIE

Middle

ANNE

Last Name

FANNING

Business Name

LACIE ANNE FANNING

Original Issue Date

10/27/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

IROQUOIS

State

Zip

60945

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/14/2007