MIA S FANDEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217112

License Status

NOT RENEWED

Business

First Name

MIA

Middle

Last Name

FANDEL

Business Name

MIA S FANDEL

Original Issue Date

04/02/2013

Effective Date

02/20/2014

Expiration Date

03/31/2015

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2015