CHASE M TACKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200779

License Status

NOT RENEWED

Business

First Name

CHASE

Middle

Last Name

TACKETT

Prefix

Business Name

CHASE M TACKETT

Original Issue Date

09/28/2010

Effective Date

03/26/2015

Expiration Date

03/31/2016

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016