TINA K DEARDORFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095602

License Status

NOT RENEWED

Business

First Name

TINA K

Last Name

DEARDORFF

Business Name

TINA K DEARDORFF

Original Issue Date

01/18/1991

Effective Date

01/14/2011

Expiration Date

03/31/2012

City

BLUE MOUND

State

Zip

62513

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012