DAWN M FAIRMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183925

License Status

INACTIVE

Business

First Name

DAWN

Middle

Last Name

FAIRMAN

Business Name

DAWN M FAIRMAN

Original Issue Date

04/29/2008

Effective Date

04/03/2024

Expiration Date

03/31/2025

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

04/03/2025