JONATHAN MICHAEL FAVERO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118648

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

MICHAEL

Last Name

FAVERO

Business Name

JONATHAN MICHAEL FAVERO

Original Issue Date

08/26/1997

Effective Date

08/26/1997

Expiration Date

03/31/2000

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

10/21/2005