SETH DAVID TIEFENAUER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255248

License Status

NOT RENEWED

Business

First Name

SETH

Middle

DAVID

Last Name

TIEFENAUER

Business Name

SETH DAVID TIEFENAUER

Original Issue Date

12/29/2017

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022