TINA M CEARLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083072

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

CEARLOCK

Business Name

TINA M CEARLOCK

Original Issue Date

07/24/1986

Effective Date

07/24/1986

Expiration Date

03/31/1988

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005