TARA A MERLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214268

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

MERLOCK

Business Name

TARA A MERLOCK

Original Issue Date

10/25/2012

Effective Date

10/25/2012

Expiration Date

03/31/2013

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2013