ANNE E FAIRFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143925

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

FAIRFIELD

Business Name

ANNE E FAIRFIELD

Original Issue Date

07/30/2002

Effective Date

07/30/2002

Expiration Date

03/31/2003

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005