SOPHIA KIMBERLY FANARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259572

License Status

NOT RENEWED

Business

First Name

SOPHIA

Middle

KIMBERLY

Last Name

FANARA

Business Name

SOPHIA KIMBERLY FANARA

Original Issue Date

09/17/2018

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

01/08/2021