TARYN STACY PREVATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145039

License Status

NOT RENEWED

Business

First Name

TARYN

Middle

STACY

Last Name

PREVATT

Business Name

TARYN STACY PREVATT

Original Issue Date

10/02/2002

Effective Date

04/06/2015

Expiration Date

03/31/2016

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/20/2016