MARY L FAFARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096632

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

FAFARA

Business Name

MARY L FAFARA

Original Issue Date

04/26/1991

Effective Date

04/26/1991

Expiration Date

03/31/2001

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005