FARRAH ANNE BANACH - Pharmacist License in Illinois | # 049134369

FARRAH ANNE BANACH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134369

License Status

NOT RENEWED

Business

N

First Name

FARRAH

Middle

ANNE

Last Name

BANACH

Business Name

FARRAH ANNE BANACH

Original Issue Date

01/16/2001

Effective Date

01/16/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005