CHARITY FAWN WORTHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264243

License Status

NOT RENEWED

Business

First Name

CHARITY

Middle

FAWN

Last Name

WORTHEN

Business Name

CHARITY FAWN WORTHEN

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

01/08/2021