THOMAS WAYNE FALLIN - Pharmacist License in Wisconsin | # 049201350

THOMAS WAYNE FALLIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201350

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

WAYNE

Last Name

FALLIN

Business Name

THOMAS WAYNE FALLIN

Original Issue Date

11/01/2010

Effective Date

04/03/2017

Expiration Date

03/31/2018

State

WI

Ever Disciplined

N

LastModifiedDate

06/19/2018