TIFFANIE SHANAE VINCENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166288

License Status

NOT RENEWED

Business

First Name

TIFFANIE

Middle

SHANAE

Last Name

VINCENT

Business Name

TIFFANIE SHANAE VINCENT

Original Issue Date

01/25/2006

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

PEORIA

State

Zip

85382

Ever Disciplined

LastModifiedDate

05/07/2012