THOMAS HENRY FUNK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064785

License Status

CANCELLED

Business

First Name

THOMAS HENRY

Last Name

FUNK

Business Name

THOMAS HENRY FUNK

Original Issue Date

01/30/1976

Effective Date

01/30/1976

Expiration Date

03/31/1982

City

OSEWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/17/2005