ANNA MARIE FAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194251

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

MARIE

Last Name

FAGAN

Business Name

ANNA MARIE FAGAN

Original Issue Date

09/16/2009

Effective Date

02/04/2021

Expiration Date

05/31/2022

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022