KENNEDY JO FANSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271339

License Status

NOT RENEWED

Business

First Name

KENNEDY

Middle

Last Name

FANSON

Business Name

KENNEDY JO FANSON

Original Issue Date

02/27/2020

Effective Date

02/27/2020

Expiration Date

03/31/2021

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

07/20/2021