TIFFANY DAWN SLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275346

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

DAWN

Last Name

SLY

Business Name

TIFFANY DAWN SLY

Original Issue Date

08/25/2020

Effective Date

08/25/2020

Expiration Date

03/31/2021

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/20/2021