ALEXANDRIA MARIE TAPHORN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232896

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRIA

Middle

MARIE

Last Name

TAPHORN

Business Name

ALEXANDRIA MARIE TAPHORN MD

Original Issue Date

05/07/2015

Effective Date

05/07/2015

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016