WARREN R FAST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033555

License Status

INACTIVE

Business

First Name

WARREN R

Last Name

FAST

Business Name

WARREN R FAST

Original Issue Date

01/16/1981

Effective Date

03/26/2012

Expiration Date

03/31/2014

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/09/2014