TODD J FALLBACHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127948

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

FALLBACHER

Business Name

TODD J FALLBACHER

Original Issue Date

10/18/1999

Effective Date

10/18/1999

Expiration Date

03/31/2005

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005