TIFFANY MARIE SHOUDEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129005

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

MARIE

Last Name

SHOUDEL

Business Name

TIFFANY MARIE SHOUDEL

Original Issue Date

01/24/2000

Effective Date

01/24/2000

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005