HELEN IRIS FAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279494

License Status

NOT RENEWED

Business

First Name

HELEN

Middle

IRIS

Last Name

FAGAN

Business Name

HELEN IRIS FAGAN

Original Issue Date

02/17/2021

Effective Date

02/17/2021

Expiration Date

05/31/2022

City

WEST LAFAYETTE

State

Zip

47906

Ever Disciplined

LastModifiedDate

07/27/2022