DUSTIN BRENT FAIRBANKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135488

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

BRENT

Last Name

FAIRBANKS

Business Name

DUSTIN BRENT FAIRBANKS

Original Issue Date

03/30/2001

Effective Date

03/30/2001

Expiration Date

03/31/2002

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

12/06/2005