TARA LEA KNUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300842

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LEA

Last Name

KNUTH

Business Name

TARA LEA KNUTH

Original Issue Date

10/04/2017

Effective Date

01/16/2020

Expiration Date

07/31/2022

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022