TARA R ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220878

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

ANDERSON

Business Name

TARA R ANDERSON

Original Issue Date

09/17/2013

Effective Date

09/17/2013

Expiration Date

03/31/2014

City

MANITO

State

Zip

61546

County

MASON

Ever Disciplined

LastModifiedDate

05/06/2014