TANYA ANN RIQUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255464

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

ANN

Last Name

RIQUE

Business Name

TANYA ANN RIQUE

Original Issue Date

01/11/2018

Effective Date

01/11/2018

Expiration Date

03/31/2019

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019