ALAN W FATHAUER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054930

License Status

NOT RENEWED

Business

First Name

ALAN W

Last Name

FATHAUER

Business Name

ALAN W FATHAUER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/17/2005