SAGE BRIANA TARTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136075

License Status

NOT RENEWED

Business

First Name

SAGE

Middle

BRIANA

Last Name

TARTER

Business Name

SAGE BRIANA TARTER

Original Issue Date

04/26/2001

Effective Date

04/26/2001

Expiration Date

03/31/2004

City

PAXTON

State

Zip

60957

County

FORD

Ever Disciplined

LastModifiedDate

10/20/2005