DARYAN L FANGMEIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206161

License Status

NOT RENEWED

Business

First Name

DARYAN

Middle

Last Name

FANGMEIER

Prefix

Business Name

DARYAN L FANGMEIER

Original Issue Date

08/22/2011

Effective Date

03/09/2012

Expiration Date

03/31/2013

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2013