TIFFANY NICOLE TEPACH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212848

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

TEPACH

Business Name

TIFFANY NICOLE TEPACH

Original Issue Date

08/14/2012

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/13/2017