THEODORE J TAMISIEA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292030

License Status

INACTIVE

Business

First Name

THEODORE

Middle

Last Name

TAMISIEA

Business Name

THEODORE J TAMISIEA

BusinessDBA

THEODORE JOSEPH TAMI

Original Issue Date

08/20/2007

Effective Date

03/02/2010

Expiration Date

03/31/2012

City

PAPILLION

State

Zip

68046

County

NEBRASKA

Ever Disciplined

LastModifiedDate

01/12/2012