TARA L DELGIUDICE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146094

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

DELGIUDICE

Business Name

TARA L DELGIUDICE

Original Issue Date

11/25/2002

Effective Date

01/28/2019

Expiration Date

09/30/2020

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/08/2021