TAMARA NICOLE CISNEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167368

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

NICOLE

Last Name

CISNEROS

Business Name

TAMARA NICOLE CISNEROS

Original Issue Date

04/06/2006

Effective Date

03/26/2010

Expiration Date

03/31/2011

City

VIRGINIA BCH

State

Zip

23456

Ever Disciplined

LastModifiedDate

05/12/2011