JIMMY LAINE TUCKER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287093

License Status

INACTIVE

Business

First Name

JIMMY

Middle

LAINE

Last Name

TUCKER

Business Name

JIMMY LAINE TUCKER

Original Issue Date

04/16/1999

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

BRANDON

State

Zip

39047

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

01/18/2006