TANYA G STREET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233881

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

Last Name

STREET

Prefix

Business Name

TANYA G STREET

Original Issue Date

06/19/2015

Effective Date

06/19/2015

Expiration Date

03/31/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/20/2016