BRIAN EDWARD TIFFANY - Pharmacist License in Illinois | # 049156388

BRIAN EDWARD TIFFANY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156388

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

EDWARD

Last Name

TIFFANY

Business Name

BRIAN EDWARD TIFFANY

Original Issue Date

08/04/2004

Effective Date

08/04/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005