AUGUSTINE PATIENCE FAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157043

License Status

NOT RENEWED

Business

First Name

AUGUSTINE

Middle

PATIENCE

Last Name

FAIN

Business Name

AUGUSTINE PATIENCE FAIN

Original Issue Date

09/01/2004

Effective Date

09/01/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006