TIFFANY ANN FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205712

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ANN

Last Name

FIELDS

Business Name

TIFFANY ANN FIELDS

Original Issue Date

08/01/2011

Effective Date

01/24/2013

Expiration Date

03/31/2014

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2014