K DINESE TIPPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153375

License Status

NOT RENEWED

Business

First Name

Middle

DINESE

Last Name

TIPPS

Business Name

K DINESE TIPPS

Original Issue Date

03/01/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007