KIRA DAWN FANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162750

License Status

NOT RENEWED

Business

First Name

KIRA

Middle

DAWN

Last Name

FANN

Business Name

KIRA DAWN FANN

Original Issue Date

08/04/2005

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

ROYALTON

State

Zip

62983

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/12/2011