EUGENE F FAHNESTOCK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051018246

License Status

INACTIVE

Business

First Name

EUGENE F

Last Name

FAHNESTOCK

Business Name

EUGENE F FAHNESTOCK

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005