CHARLES T TANNER II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090631

License Status

NOT RENEWED

Business

First Name

CHARLES T

Last Name

TANNER II

Business Name

CHARLES T TANNER II

Original Issue Date

07/19/1989

Effective Date

07/19/1989

Expiration Date

03/31/1990

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005