PRINCESS TAJANNA BUMPER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255973

License Status

INACTIVE

Business

First Name

PRINCESS TAJANNA

Last Name

BUMPER

Business Name

PRINCESS TAJANNA BUMPER

Original Issue Date

02/05/2018

Effective Date

06/25/2019

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/04/2020