KHARA NICOLE FENTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247335

License Status

NOT RENEWED

Business

First Name

KHARA

Middle

NICOLE

Last Name

FENTON

Business Name

KHARA NICOLE FENTON

Original Issue Date

12/27/2016

Effective Date

03/01/2017

Expiration Date

03/31/2018

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

06/19/2018