CHARMAINE M TAMAYO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156906

License Status

NOT RENEWED

Business

First Name

CHARMAINE

Middle

Last Name

TAMAYO

Business Name

CHARMAINE M TAMAYO

Original Issue Date

08/25/2004

Effective Date

08/25/2004

Expiration Date

03/31/2005

City

STURGEON BAY

State

Zip

54235

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005