CASEY MICHELLE TANZYUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131402

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

MICHELLE

Last Name

TANZYUS

Business Name

CASEY MICHELLE TANZYUS

Original Issue Date

06/30/2000

Effective Date

06/30/2000

Expiration Date

03/31/2002

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

12/06/2005