SR M DANIEL FENKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025562

License Status

NOT RENEWED

Business

First Name

SR M DANIEL

Last Name

FENKER

Business Name

SR M DANIEL FENKER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

FORT WAYNE

State

Zip

46809

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005