COURTNEY NOEL FOZZARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282558

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

NOEL

Last Name

FOZZARD

Business Name

COURTNEY NOEL FOZZARD

Original Issue Date

05/24/2021

Effective Date

05/24/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022