AMBER LEE TACKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150831

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

LEE

Last Name

TACKETT

Business Name

AMBER LEE TACKETT

Original Issue Date

09/24/2003

Effective Date

04/04/2016

Expiration Date

03/31/2017

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017