TARA R HARTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153822

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

HARTMAN

Business Name

TARA R HARTMAN

Original Issue Date

03/22/2004

Effective Date

03/22/2004

Expiration Date

03/31/2005

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/20/2005