HAZEL B FARRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200918

License Status

NOT RENEWED

Business

First Name

HAZEL

Middle

Last Name

FARRIS

Prefix

Business Name

HAZEL B FARRIS

Original Issue Date

10/07/2010

Effective Date

08/22/2011

Expiration Date

03/31/2012

City

DENNISON

State

Zip

62423

County

CLARK

Ever Disciplined

LastModifiedDate

05/07/2012