TIFFANY ENGEBRETSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264466

License Status

NOT RENEWED

Business

First Name

TIFFANY

Last Name

ENGEBRETSEN

Business Name

TIFFANY ENGEBRETSEN

Original Issue Date

04/12/2019

Effective Date

04/12/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021