MATTHEW LEE TENARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172315

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

LEE

Last Name

TENARD

Business Name

MATTHEW LEE TENARD

Original Issue Date

11/02/2006

Effective Date

01/23/2018

Expiration Date

03/31/2019

City

FORT CAMPBELL

State

Zip

42223

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/15/2019