TUCKER ANDREW BRISBIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251111

License Status

NOT RENEWED

Business

First Name

TUCKER

Middle

ANDREW

Last Name

BRISBIN

Business Name

TUCKER ANDREW BRISBIN

Original Issue Date

06/07/2017

Effective Date

06/07/2017

Expiration Date

03/31/2018

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018