TIFFANI D EISENHAUER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107010

License Status

NOT RENEWED

Business

First Name

TIFFANI

Middle

Last Name

EISENHAUER

Business Name

TIFFANI D EISENHAUER

Original Issue Date

05/27/1994

Effective Date

05/27/1994

Expiration Date

03/31/1999

City

MOWEAQUA

State

Zip

62550

County

SHELBY

Ever Disciplined

LastModifiedDate

10/17/2005