TIFFANY RACHELLE TULBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182501

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

RACHELLE

Last Name

TULBA

Business Name

TIFFANY RACHELLE TULBA

Original Issue Date

02/29/2008

Effective Date

03/24/2016

Expiration Date

03/31/2017

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2017