TARA N DEARDORFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072258

License Status

NOT RENEWED

Business

First Name

TARA N

Last Name

DEARDORFF

Business Name

TARA N DEARDORFF

Original Issue Date

12/26/1979

Effective Date

12/26/1979

Expiration Date

03/31/1986

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005