TINA JO MAYBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119412

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

MAYBERRY

Business Name

TINA JO MAYBERRY

Original Issue Date

11/20/1997

Effective Date

11/20/1997

Expiration Date

03/31/2002

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

12/06/2005