TIFFANY MICHELE BUNDY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124509

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

MICHELE

Last Name

BUNDY

Business Name

TIFFANY MICHELE BUNDY

Original Issue Date

01/22/1999

Effective Date

01/22/1999

Expiration Date

03/31/2000

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005