TIFFANY CARRISSA BRANNOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169252

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

CARRISSA

Last Name

BRANNOCK

Business Name

TIFFANY CARRISSA BRANNOCK

Original Issue Date

06/12/2006

Effective Date

01/22/2010

Expiration Date

03/31/2011

City

RALEIGH

State

Zip

62977

County

SALINE

Ever Disciplined

LastModifiedDate

05/12/2011