MARTIN T FAHEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069154

License Status

NOT RENEWED

Business

First Name

MARTIN T

Last Name

FAHEY

Business Name

MARTIN T FAHEY

Original Issue Date

04/14/1978

Effective Date

04/14/1978

Expiration Date

03/31/1984

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005