JACI MICHELE FAIRLESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126108

License Status

NOT RENEWED

Business

First Name

JACI

Middle

MICHELE

Last Name

FAIRLESS

Business Name

JACI MICHELE FAIRLESS

Original Issue Date

06/01/1999

Effective Date

03/23/2016

Expiration Date

03/31/2017

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2017