BOBBY MICHAEL TUCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156510

License Status

NOT RENEWED

Business

First Name

BOBBY

Middle

MICHAEL

Last Name

TUCKER

Business Name

BOBBY MICHAEL TUCKER

Original Issue Date

08/11/2004

Effective Date

01/28/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021