JAMIE D FALLERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190676

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

FALLERT

Prefix

Business Name

JAMIE D FALLERT

Original Issue Date

04/02/2009

Effective Date

04/02/2009

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010