TIFFANY WADE GOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206841

License Status

NOT RENEWED

Business

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

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2013