TARA LYNN PAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200144

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LYNN

Last Name

PAGE

Business Name

TARA LYNN PAGE

Original Issue Date

08/25/2010

Effective Date

08/25/2010

Expiration Date

03/31/2011

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011