TIFFANY R PANKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193737

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

PANKEY

Business Name

TIFFANY R PANKEY

Original Issue Date

08/19/2009

Effective Date

02/07/2011

Expiration Date

03/31/2012

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012