TABITHA LYNN CARROLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176966

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

LYNN

Last Name

CARROLL

Business Name

TABITHA LYNN CARROLL

Original Issue Date

06/13/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/06/2009