JACOB FAHNLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067812

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

FAHNLE

Business Name

JACOB FAHNLE

Original Issue Date

07/27/1977

Effective Date

07/27/1977

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61901

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005