DAMITA D TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231296

License Status

NOT RENEWED

Business

First Name

DAMITA

Middle

Last Name

TANNER

Prefix

Business Name

DAMITA D TANNER

Original Issue Date

02/23/2015

Effective Date

03/07/2016

Expiration Date

03/31/2017

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/10/2017