CHARLES DAVID FAULKNER III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027688

License Status

NOT RENEWED

Business

First Name

CHARLES DAVID

Last Name

FAULKNER III

Business Name

CHARLES DAVID FAULKNER III

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010