TINA LOUISE COWAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150133

License Status

NOT RENEWED

Business

First Name

TINA

Middle

LOUISE

Last Name

COWAN

Business Name

TINA LOUISE COWAN

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

03/31/2004

City

FENTON

State

Zip

61251

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/20/2005