FARRAH ANNE BANACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134369

License Status

NOT RENEWED

Business

First Name

FARRAH

Middle

ANNE

Last Name

BANACH

Business Name

FARRAH ANNE BANACH

Original Issue Date

01/16/2001

Effective Date

01/16/2001

Expiration Date

03/31/2002

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/06/2005