TIFFANY L SPUDICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118017

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

SPUDICH

Business Name

TIFFANY L SPUDICH

Original Issue Date

07/02/1997

Effective Date

07/02/1997

Expiration Date

03/31/2004

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005