TODD R FAGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143508

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

FAGA

Business Name

TODD R FAGA

Original Issue Date

07/03/2002

Effective Date

07/03/2002

Expiration Date

03/31/2003

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005