TAMARA HELENE LUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138293

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

HELENE

Last Name

LUTH

Business Name

TAMARA HELENE LUTH

Original Issue Date

09/13/2001

Effective Date

09/13/2001

Expiration Date

03/31/2002

City

NEWMAN

State

Zip

61942

County

DOUGLAS

Ever Disciplined

LastModifiedDate

12/06/2005