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Fallesen, Mark A - Pharmacy Technician

Fallesen, Mark A - (Pharmacy Technician)

Bolivar, MO 65613
License# : 2015003273 - Issued on : 2/3/2015
Doing Business As :
Licensee Name:Fallesen, Mark A 
Profession Name:Pharmacy Technician 
Licensee Number:2015003273  
Expiration Date:5/31/2016 
Original Issue Date:2/3/2015 
Address: 
Address Con't: 
City, State Zip:Bolivar, MO 65613 
County:Polk 
Practitioner DBA Name: 
Classification: 

Current Discipline Status:None

Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO  65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists