TARA M APPLEGATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098679

License Status

NOT RENEWED

Business

First Name

TARA M

Last Name

APPLEGATE

Business Name

TARA M APPLEGATE

Original Issue Date

11/18/1991

Effective Date

11/18/1991

Expiration Date

03/31/1996

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005