IAN A FARACHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152301

License Status

NOT RENEWED

Business

First Name

IAN

Middle

Last Name

FARACHE

Business Name

IAN A FARACHE

Original Issue Date

12/02/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007