EMMA M FAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172876

License Status

NOT RENEWED

Business

First Name

EMMA

Middle

Last Name

FAGAN

Business Name

EMMA M FAGAN

Original Issue Date

11/30/2006

Effective Date

03/13/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014