TIFFANEY WALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281246

License Status

NOT RENEWED

Business

First Name

TIFFANEY

Last Name

WALLEN

Business Name

TIFFANEY WALLEN

Original Issue Date

04/07/2021

Effective Date

04/07/2021

Expiration Date

05/31/2022

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

07/27/2022