ERIN R FAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120673

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

FAW

Business Name

ERIN R FAW

Original Issue Date

04/20/1998

Effective Date

04/20/1998

Expiration Date

03/31/2000

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005