TYLER SPATAFORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279206

License Status

NOT RENEWED

Business

First Name

TYLER

Last Name

SPATAFORE

Business Name

TYLER SPATAFORE

Original Issue Date

02/04/2021

Effective Date

02/04/2021

Expiration Date

05/31/2022

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022