TARA L COATY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218103

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

COATY

Prefix

Business Name

TARA L COATY

Original Issue Date

05/22/2013

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015