TAYLOR R DITTAMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219826

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

DITTAMORE

Business Name

TAYLOR R DITTAMORE

Original Issue Date

08/07/2013

Effective Date

03/13/2014

Expiration Date

03/31/2015

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015