TANNEY C FASANYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142116

License Status

NOT RENEWED

Business

First Name

TANNEY

Middle

Last Name

FASANYA

Business Name

TANNEY C FASANYA

Original Issue Date

05/02/2002

Effective Date

08/07/2007

Expiration Date

03/31/2008

City

GRAND PRAIRIE

State

Zip

75052

County

TEXAS

Ever Disciplined

LastModifiedDate

05/02/2008