TANNEY C FASANYA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292143

License Status

INACTIVE

Business

First Name

TANNEY

Middle

Last Name

FASANYA

Business Name

TANNEY C FASANYA

Original Issue Date

09/14/2007

Effective Date

08/13/2012

Expiration Date

03/31/2014

City

GRAND PRAIRIE

State

Zip

75052

County

TEXAS

Ever Disciplined

LastModifiedDate

01/09/2014