TIFFANY LEE ROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197608

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

LEE

Last Name

ROSE

Business Name

TIFFANY LEE ROSE

Original Issue Date

04/01/2010

Effective Date

04/01/2010

Expiration Date

03/31/2011

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/12/2011