RENA L FRAGALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147474

License Status

NOT RENEWED

Business

First Name

RENA

Middle

Last Name

FRAGALE

Business Name

RENA L FRAGALE

Original Issue Date

03/17/2003

Effective Date

03/17/2003

Expiration Date

03/31/2004

City

DIETERICH

State

Zip

62424

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/20/2005