HAROLD L FATH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022563

License Status

INACTIVE

Business

First Name

HAROLD L

Last Name

FATH

Business Name

HAROLD L FATH

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005