TINA LEA ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203905

License Status

NOT RENEWED

Business

First Name

TINA

Middle

LEA

Last Name

ANDERSON

Business Name

TINA LEA ANDERSON

Original Issue Date

04/29/2011

Effective Date

04/29/2011

Expiration Date

03/31/2012

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

05/07/2012