TANJA S CORBRIDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098523

License Status

NOT RENEWED

Business

First Name

TANJA S

Last Name

CORBRIDGE

Business Name

TANJA S CORBRIDGE

Original Issue Date

10/31/1991

Effective Date

10/31/1991

Expiration Date

03/31/1996

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005