JODI K FAULKNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060709

License Status

NOT RENEWED

Business

First Name

JODI K

Last Name

FAULKNER

Business Name

JODI K FAULKNER

Original Issue Date

12/14/1973

Effective Date

12/14/1973

Expiration Date

03/31/2005

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005