THOMAS WAYNE FALLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201350

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

WAYNE

Last Name

FALLIN

Business Name

THOMAS WAYNE FALLIN

Original Issue Date

11/01/2010

Effective Date

04/03/2017

Expiration Date

03/31/2018

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/19/2018