TAMIKA LYNN PENROD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162268

License Status

NOT RENEWED

Business

First Name

TAMIKA

Middle

LYNN

Last Name

PENROD

Business Name

TAMIKA LYNN PENROD

Original Issue Date

07/15/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PLAINVIEW

State

Zip

62685

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2009