MIA H FAGERSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188742

License Status

NOT RENEWED

Business

First Name

MIA

Middle

Last Name

FAGERSTROM

Prefix

Business Name

MIA H FAGERSTROM

Original Issue Date

12/15/2008

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011