TIERRA R MOUTRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204251

License Status

NOT RENEWED

Business

First Name

TIERRA

Middle

Last Name

MOUTRY

Business Name

TIERRA R MOUTRY

Original Issue Date

05/19/2011

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014