SUSAN FAGOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213087

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

FAGOT

Business Name

SUSAN FAGOT

Original Issue Date

08/26/2012

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/20/2016