ADAM J FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206137

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

FUNK

Prefix

Business Name

ADAM J FUNK

Original Issue Date

08/22/2011

Effective Date

08/22/2011

Expiration Date

03/31/2012

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/07/2012