TASHA L GRASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134535

License Status

NOT RENEWED

Business

First Name

TASHA

Middle

Last Name

GRASS

Business Name

TASHA L GRASS

Original Issue Date

02/09/2001

Effective Date

04/04/2012

Expiration Date

03/31/2013

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013