TARA PAULINE WIRTH Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247927

License Status

ACTIVE

Business

First Name

TARA

Middle

PAULINE

Last Name

WIRTH

Business Name

TARA PAULINE WIRTH

Original Issue Date

01/20/2017

Effective Date

03/11/2026

Expiration Date

03/31/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/11/2026