MARY A FRAGEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212161

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

FRAGEL

Business Name

MARY A FRAGEL

Original Issue Date

07/16/2012

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015