TARA VICKERY GORDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103550

License Status

NOT RENEWED

Business

First Name

TARA VICKERY

Last Name

GORDEN

Business Name

TARA VICKERY GORDEN

Original Issue Date

05/26/1993

Effective Date

05/26/1993

Expiration Date

03/31/1996

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/17/2005