TEQUILA FABER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145585

License Status

NOT RENEWED

Business

First Name

TEQUILA

Last Name

FABER

Business Name

TEQUILA FABER

Original Issue Date

10/29/2002

Effective Date

10/29/2002

Expiration Date

03/31/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005