TANA M HEAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160221

License Status

NOT RENEWED

Business

First Name

TANA

Middle

Last Name

HEAD

Business Name

TANA M HEAD

Original Issue Date

04/14/2005

Effective Date

02/14/2013

Expiration Date

03/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014