TAMARA DEE WHALEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153627

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

DEE

Last Name

WHALEN

Business Name

TAMARA DEE WHALEN

Original Issue Date

03/15/2004

Effective Date

03/15/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

05/11/2006