TATYANNA KRYSTYNA RUTHERFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220895

License Status

NOT RENEWED

Business

First Name

TATYANNA

Middle

KRYSTYNA

Last Name

RUTHERFORD

Business Name

TATYANNA KRYSTYNA RUTHERFORD

Original Issue Date

09/17/2013

Effective Date

02/04/2015

Expiration Date

03/31/2016

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016