TARA ELIZABETH WIRSING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126317

License Status

NOT RENEWED

Business

First Name

TARA

Middle

ELIZABETH

Last Name

WIRSING

Business Name

TARA ELIZABETH WIRSING

Original Issue Date

06/14/1999

Effective Date

06/14/1999

Expiration Date

03/31/2001

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005