ELIZABETH A FANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208531

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

FANN

Business Name

ELIZABETH A FANN

Original Issue Date

01/03/2012

Effective Date

03/04/2013

Expiration Date

03/31/2014

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/06/2014