TELISA NICOLE BUFFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128634

License Status

NOT RENEWED

Business

First Name

TELISA

Middle

NICOLE

Last Name

BUFFER

Business Name

TELISA NICOLE BUFFER

Original Issue Date

12/16/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007