RICHARD G FAFARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079727

License Status

NOT RENEWED

Business

First Name

RICHARD G

Last Name

FAFARA

Business Name

RICHARD G FAFARA

Original Issue Date

05/02/1984

Effective Date

05/02/1984

Expiration Date

03/31/2001

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005