TACHAYLA M BRANSCUMB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245250

License Status

NOT RENEWED

Business

First Name

TACHAYLA

Middle

Last Name

BRANSCUMB

Prefix

Business Name

TACHAYLA M BRANSCUMB

Original Issue Date

10/06/2016

Effective Date

03/23/2017

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018