TATANNA T AMICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198654

License Status

NOT RENEWED

Business

First Name

TATANNA

Middle

Last Name

AMICK

Business Name

TATANNA T AMICK

Original Issue Date

06/03/2010

Effective Date

09/23/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012