NOLAN SAMUEL FANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285545

License Status

NOT RENEWED

Business

First Name

NOLAN

Middle

SAMUEL

Last Name

FANN

Business Name

NOLAN SAMUEL FANN

Original Issue Date

09/17/2021

Effective Date

09/17/2021

Expiration Date

05/31/2022

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/27/2022