MEREDITH L FANTOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185119

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

Last Name

FANTOM

Business Name

MEREDITH L FANTOM

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

03/31/2009

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009