TIFFANY DAWN FULL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133492

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

DAWN

Last Name

FULL

Business Name

TIFFANY DAWN FULL

Original Issue Date

11/02/2000

Effective Date

11/02/2000

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005