LA TONYA R FAULK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116490

License Status

NOT RENEWED

Business

First Name

LA TONYA

Middle

Last Name

FAULK

Business Name

LA TONYA R FAULK

Original Issue Date

02/10/1997

Effective Date

02/10/1997

Expiration Date

03/31/1998

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005