TIFFANY J DRAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231428

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

DRAKE

Business Name

TIFFANY J DRAKE

Original Issue Date

03/02/2015

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/10/2017