JATAE CIARA WEST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204022

License Status

NOT RENEWED

Business

First Name

JATAE

Middle

CIARA

Last Name

WEST

Business Name

JATAE CIARA WEST

Original Issue Date

05/06/2011

Effective Date

05/06/2011

Expiration Date

03/31/2012

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012