TIFFANY NICOLE MASSEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162821

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

MASSEY

Business Name

TIFFANY NICOLE MASSEY

Original Issue Date

08/08/2005

Effective Date

08/08/2005

Expiration Date

03/31/2006

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006