JAMIE A FAK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199822

License Status

INACTIVE

Business

First Name

JAMIE

Middle

Last Name

FAK

Prefix

Business Name

JAMIE A FAK

Original Issue Date

08/06/2010

Effective Date

01/25/2011

Expiration Date

03/31/2012

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/12/2012