TIANNA DIANE SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194642

License Status

NOT RENEWED

Business

First Name

TIANNA

Middle

DIANE

Last Name

SHORT

Business Name

TIANNA DIANE SHORT

Original Issue Date

10/05/2009

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2015