TABITHA S BRACKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297100

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

BRACKETT

Business Name

TABITHA S BRACKETT

Original Issue Date

10/27/2022

Effective Date

10/27/2022

Expiration Date

03/31/2023

City

WATAGA

State

Zip

61488

County

KNOX

Ever Disciplined

LastModifiedDate

09/07/2023