TAMMY L SPROUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157471

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

SPROUT

Business Name

TAMMY L SPROUT

Original Issue Date

10/15/2004

Effective Date

05/17/2006

Expiration Date

03/31/2007

City

ALPHA

State

Zip

61413

County

HENRY

Ever Disciplined

LastModifiedDate

05/14/2007