TARA LYNN THOMPSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146032

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LYNN

Last Name

THOMPSON

Business Name

TARA LYNN THOMPSON

Original Issue Date

11/21/2002

Effective Date

11/21/2002

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005