TINA M AMBROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130314

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

AMBROSE

Business Name

TINA M AMBROSE

Original Issue Date

03/29/2000

Effective Date

03/29/2000

Expiration Date

03/31/2003

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005