ADAM MICHAEL TASSART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179593

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

MICHAEL

Last Name

TASSART

Business Name

ADAM MICHAEL TASSART

Original Issue Date

09/28/2007

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2013