TATIANA B PEARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208247

License Status

NOT RENEWED

Business

First Name

TATIANA

Middle

Last Name

PEARSON

Business Name

TATIANA B PEARSON

Original Issue Date

12/13/2011

Effective Date

12/13/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012