TANJA RENAE SOWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117594

License Status

NOT RENEWED

Business

First Name

TANJA

Middle

RENAE

Last Name

SOWELL

Business Name

TANJA RENAE SOWELL

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005