TAMARA KAYE HERTENSTEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268983

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

KAYE

Last Name

HERTENSTEIN

Business Name

TAMARA KAYE HERTENSTEIN

Original Issue Date

11/05/2019

Effective Date

02/20/2020

Expiration Date

03/31/2021

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/20/2021