TARA MARIE SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123385

License Status

NOT RENEWED

Business

First Name

TARA

Middle

MARIE

Last Name

SPARKS

Business Name

TARA MARIE SPARKS

Original Issue Date

10/23/1998

Effective Date

03/21/2014

Expiration Date

03/31/2015

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/11/2015