TAMARA NICOLE CISNEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294175

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

NICOLE

Last Name

CISNEROS

Business Name

TAMARA NICOLE CISNEROS

Original Issue Date

06/14/2010

Effective Date

06/09/2016

Expiration Date

03/31/2018

City

VIRGINIA BCH

State

Zip

23456

Ever Disciplined

LastModifiedDate

06/19/2018