DAVID W FAGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177398

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

FAGER

Business Name

DAVID W FAGER

Original Issue Date

06/28/2007

Effective Date

06/28/2007

Expiration Date

03/31/2008

City

FORRESTON

State

Zip

61030

County

OGLE

Ever Disciplined

LastModifiedDate

05/02/2008