SHARON K TIEKEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074818

License Status

INACTIVE

Business

First Name

SHARON K

Last Name

TIEKEN

Business Name

SHARON K TIEKEN

Original Issue Date

07/02/1981

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

01/12/2012