IDA N FAIRBAIRN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090079

License Status

NOT RENEWED

Business

First Name

IDA N

Last Name

FAIRBAIRN

Business Name

IDA N FAIRBAIRN

Original Issue Date

05/23/1989

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012