SARA JEAN FIETSAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159901

License Status

NOT RENEWED

Business

First Name

SARA

Middle

JEAN

Last Name

FIETSAM

Business Name

SARA JEAN FIETSAM

Original Issue Date

04/05/2005

Effective Date

02/10/2010

Expiration Date

03/31/2011

City

IMPERIAL

State

Zip

63052

Ever Disciplined

LastModifiedDate

05/12/2011