TIFFANY A DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211890

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

DOUGLAS

Business Name

TIFFANY A DOUGLAS

Original Issue Date

06/26/2012

Effective Date

03/22/2013

Expiration Date

03/31/2014

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/06/2014