TASHA L JUAREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173056

License Status

NOT RENEWED

Business

First Name

TASHA

Middle

Last Name

JUAREZ

Business Name

TASHA L JUAREZ

Original Issue Date

12/11/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008