TARA L ROBERTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159343

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

ROBERTSON

Business Name

TARA L ROBERTSON

Original Issue Date

02/23/2005

Effective Date

02/23/2005

Expiration Date

03/31/2006

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006