TIFFANY K AMEND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151632

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

AMEND

Business Name

TIFFANY K AMEND

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2004

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005