TIFFANY A PAULSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209552

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

PAULSEN

Business Name

TIFFANY A PAULSEN

Original Issue Date

03/05/2012

Effective Date

02/26/2014

Expiration Date

03/31/2015

City

GRAYMONT

State

Zip

61743

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/11/2015