MICHAEL J FASTERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147870

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

FASTERT

Business Name

MICHAEL J FASTERT

Original Issue Date

04/08/2003

Effective Date

04/08/2003

Expiration Date

03/31/2004

City

WHEELING

State

Zip

60090

Ever Disciplined

LastModifiedDate

10/20/2005