DAVID R FAIRCHILD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116718

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

FAIRCHILD

Business Name

DAVID R FAIRCHILD

Original Issue Date

03/07/1997

Effective Date

03/07/1997

Expiration Date

03/31/2002

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005