TARA RENEE DRAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123176

License Status

NOT RENEWED

Business

First Name

TARA

Middle

RENEE

Last Name

DRAKE

Business Name

TARA RENEE DRAKE

Original Issue Date

10/09/1998

Effective Date

10/09/1998

Expiration Date

03/31/2000

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005