BRIAN EDWARD TIFFANY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156388

License Status

NOT RENEWED

Business

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

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005