CATHY L FAUSETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165365

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

Last Name

FAUSETT

Business Name

CATHY L FAUSETT

Original Issue Date

12/05/2005

Effective Date

12/05/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006