TIFFANY ELIZABETH HOLMES Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172212

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

ELIZABETH

Last Name

HOLMES

Business Name

TIFFANY ELIZABETH HOLMES

Original Issue Date

10/31/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/10/2008