TIFFINY LEE WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127921

License Status

NOT RENEWED

Business

First Name

TIFFINY

Middle

LEE

Last Name

WALLER

Business Name

TIFFINY LEE WALLER

Original Issue Date

10/18/1999

Effective Date

10/18/1999

Expiration Date

03/31/2001

City

DYER

State

Zip

46311

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005