TIA ROSE HAMM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276257

License Status

NOT RENEWED

Business

First Name

TIA

Middle

ROSE

Last Name

HAMM

Business Name

TIA ROSE HAMM

Original Issue Date

10/01/2020

Effective Date

02/23/2021

Expiration Date

05/31/2022

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/27/2022