CHENELLE RENEE FANOUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193603

License Status

NOT RENEWED

Business

First Name

CHENELLE

Middle

RENEE

Last Name

FANOUTH

Prefix

Business Name

CHENELLE RENEE FANOUTH

Original Issue Date

08/12/2009

Effective Date

01/24/2013

Expiration Date

03/31/2014

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014