IVAN K FALCONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201329

License Status

NOT RENEWED

Business

First Name

IVAN

Middle

Last Name

FALCONER

Business Name

IVAN K FALCONER

Original Issue Date

10/29/2010

Effective Date

10/29/2010

Expiration Date

03/31/2011

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/12/2011