TIFFANNI MARIE LOSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155249

License Status

NOT RENEWED

Business

First Name

TIFFANNI

Middle

MARIE

Last Name

LOSEN

Business Name

TIFFANNI MARIE LOSEN

Original Issue Date

06/16/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008