TIFFANY BROOK KIEHNA GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203963

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

BROOK KIEHNA

Last Name

GONZALEZ

Business Name

TIFFANY BROOK KIEHNA GONZALEZ

Original Issue Date

05/03/2011

Effective Date

03/02/2015

Expiration Date

03/31/2016

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016