DWAIN L FAIRWEATHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146166

License Status

NOT RENEWED

Business

First Name

DWAIN

Middle

Last Name

FAIRWEATHER

Business Name

DWAIN L FAIRWEATHER

Original Issue Date

12/02/2002

Effective Date

12/02/2002

Expiration Date

03/31/2005

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005