TIERNEY BLAINE COURTOIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255559

License Status

NOT RENEWED

Business

First Name

TIERNEY

Middle

BLAINE

Last Name

COURTOIS

Business Name

TIERNEY BLAINE COURTOIS

Original Issue Date

01/16/2018

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/15/2019