TANJA SKAKAVAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212754

License Status

NOT RENEWED

Business

First Name

TANJA

Last Name

SKAKAVAC

Prefix

Business Name

TANJA SKAKAVAC

Original Issue Date

08/08/2012

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021