TARA NOREEN MACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120785

License Status

NOT RENEWED

Business

First Name

TARA

Middle

NOREEN

Last Name

MACK

Business Name

TARA NOREEN MACK

Original Issue Date

04/24/1998

Effective Date

04/24/1998

Expiration Date

03/31/1999

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005