PHILIP JAMES FAROH JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051285921

License Status

INACTIVE

Business

First Name

PHILIP

Middle

JAMES

Last Name

FAROH

Suffix

Business Name

PHILIP JAMES FAROH JR

Original Issue Date

04/09/1997

Effective Date

01/22/2018

Expiration Date

09/30/2020

City

TRAIL CREEK

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

01/04/2020

Case Number

2004008038

Action

Probation

Discipline Start Date

04/29/2005

Discipline End Date

11/30/2009

Discipline Reason

DIVERTED CONTROLLED SUBSTANCES FROM HIS PHARMACY EMPLOYER FOR SELF-USE.