ANDREA M FARRAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158167

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

FARRAR

Business Name

ANDREA M FARRAR

Original Issue Date

12/07/2004

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010