TIFFANY M ALBAVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148035

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

ALBAVERA

Business Name

TIFFANY M ALBAVERA

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

03/31/2005

City

LAKE VILLA

State

Zip

60046

Ever Disciplined

LastModifiedDate

10/20/2005