TABITHA LYNN ANKENMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247341

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

LYNN

Last Name

ANKENMAN

Business Name

TABITHA LYNN ANKENMAN

Original Issue Date

12/27/2016

Effective Date

12/27/2016

Expiration Date

03/31/2017

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017