MOLLY FUNK BIRSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101006

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

FUNK

Last Name

BIRSA

Business Name

MOLLY FUNK BIRSA

Original Issue Date

08/14/1992

Effective Date

03/12/2015

Expiration Date

03/31/2016

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016