ADAM J FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288293

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

FUNK

Business Name

ADAM J FUNK

Original Issue Date

06/25/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006