TIFFANY N SOUTHWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202880

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

SOUTHWORTH

Business Name

TIFFANY N SOUTHWORTH

Original Issue Date

02/23/2011

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013