VIVIAN A FESSENBECK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187826

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

Last Name

FESSENBECK

Business Name

VIVIAN A FESSENBECK

Original Issue Date

10/21/2008

Effective Date

01/13/2010

Expiration Date

03/31/2011

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

05/12/2011