TIFFANY SUE HIATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135137

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

SUE

Last Name

HIATT

Business Name

TIFFANY SUE HIATT

Original Issue Date

03/13/2001

Effective Date

03/13/2001

Expiration Date

03/31/2002

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

12/06/2005