TERRANCE T FAHLENKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037640

License Status

NOT RENEWED

Business

First Name

TERRANCE T

Last Name

FAHLENKAMP

Business Name

TERRANCE T FAHLENKAMP

Original Issue Date

10/18/1989

Effective Date

02/22/2021

Expiration Date

07/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/14/2022