TIFFANY MARIE HARRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139121

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

MARIE

Last Name

HARRIS

Business Name

TIFFANY MARIE HARRIS

Original Issue Date

11/08/2001

Effective Date

11/08/2001

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005