TABITHA DAWN ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241399

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

DAWN

Last Name

ALLEN

Business Name

TABITHA DAWN ALLEN

Original Issue Date

04/26/2016

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

06/19/2018