TABATHA NICCOLE PHILLIPS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197974

License Status

INACTIVE

Business

First Name

TABATHA

Middle

NICCOLE

Last Name

PHILLIPS

Business Name

TABATHA NICCOLE PHILLIPS

Original Issue Date

04/22/2010

Effective Date

04/22/2010

Expiration Date

03/31/2011

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

01/05/2011