ANDREA LYNN TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067120

License Status

NOT RENEWED

Business

First Name

ANDREA LYNN

Last Name

TANNER

Business Name

ANDREA LYNN TANNER

Original Issue Date

04/15/1977

Effective Date

04/15/1977

Expiration Date

01/01/1997

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005