TOBI NYCOLE IRVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147395

License Status

NOT RENEWED

Business

First Name

TOBI

Middle

NYCOLE

Last Name

IRVIN

Business Name

TOBI NYCOLE IRVIN

Original Issue Date

03/13/2003

Effective Date

03/13/2003

Expiration Date

03/31/2004

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/20/2005