TIFFANY RENEE YATES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135110

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

RENEE

Last Name

YATES

Business Name

TIFFANY RENEE YATES

Original Issue Date

03/12/2001

Effective Date

03/12/2001

Expiration Date

03/31/2003

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/20/2005