TINA M LUKEFAHR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194875

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

LUKEFAHR

Prefix

Business Name

TINA M LUKEFAHR

Original Issue Date

10/18/2009

Effective Date

10/18/2009

Expiration Date

03/31/2010

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010