TIFFANY WADE GOSS - Pharmacist License in Illinois | # 049206841

TIFFANY WADE GOSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206841

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

WADE

Last Name

GOSS

Business Name

TIFFANY WADE GOSS

Original Issue Date

09/21/2011

Effective Date

02/21/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013