CARRIE A DAVIS-TISCKOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122063

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

DAVIS-TISCKOS

Business Name

CARRIE A DAVIS-TISCKOS

Original Issue Date

07/22/1998

Effective Date

07/22/1998

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005