TINA L DARE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154060

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

DARE

Business Name

TINA L DARE

Original Issue Date

04/12/2004

Effective Date

03/04/2009

Expiration Date

03/31/2010

City

AVON

State

Zip

61415

County

FULTON

Ever Disciplined

LastModifiedDate

05/04/2010