TIMOTHY S ETIENNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091436

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

ETIENNE

Business Name

TIMOTHY S ETIENNE

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

03/31/1995

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005