VINCENT ALLEN FARRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157611

License Status

NOT RENEWED

Business

First Name

VINCENT

Middle

ALLEN

Last Name

FARRIS

Business Name

VINCENT ALLEN FARRIS

Original Issue Date

10/26/2004

Effective Date

10/26/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005