KELLAN NOEL FENWICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243861

License Status

NOT RENEWED

Business

First Name

KELLAN

Middle

NOEL

Last Name

FENWICK

Business Name

KELLAN NOEL FENWICK

Original Issue Date

08/08/2016

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

06/19/2018