CLARENCE JAVAN FALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277878

License Status

NOT RENEWED

Business

First Name

CLARENCE

Middle

JAVAN

Last Name

FALLS

Business Name

CLARENCE JAVAN FALLS

Original Issue Date

12/10/2020

Effective Date

03/18/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022