TINA M BATES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109603

License Status

NOT RENEWED

Business

First Name

TINA M

Last Name

BATES

Business Name

TINA M BATES

Original Issue Date

02/23/1995

Effective Date

02/23/1995

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005