TABI ANN DEWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261352

License Status

NOT RENEWED

Business

First Name

TABI

Middle

ANN

Last Name

DEWALT

Business Name

TABI ANN DEWALT

Original Issue Date

11/26/2018

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021