LEZLIE FAY TIARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117180

License Status

NOT RENEWED

Business

First Name

LEZLIE

Middle

FAY

Last Name

TIARKS

Business Name

LEZLIE FAY TIARKS

Original Issue Date

04/10/1997

Effective Date

04/10/1997

Expiration Date

03/31/2004

City

DONOVAN

State

Zip

60931

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/20/2005