TIFFANY L HOUZENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097780

License Status

NOT RENEWED

Business

First Name

TIFFANY L

Last Name

HOUZENGA

Business Name

TIFFANY L HOUZENGA

Original Issue Date

08/21/1991

Effective Date

08/21/1991

Expiration Date

03/31/1992

City

DAHINDA

State

Zip

61428

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005