CANDICE MARIE FALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211964

License Status

NOT RENEWED

Business

First Name

CANDICE

Middle

MARIE

Last Name

FALLER

Business Name

CANDICE MARIE FALLER

Original Issue Date

07/02/2012

Effective Date

01/15/2015

Expiration Date

03/31/2016

City

ANNA

State

Zip

62906

Ever Disciplined

LastModifiedDate

05/20/2016