KEVIN M FAHEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093784

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

FAHEY

Business Name

KEVIN M FAHEY

Original Issue Date

07/14/1990

Effective Date

07/14/1990

Expiration Date

03/31/1993

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005