TANA LEEDS COLEMAN - Pharmacist License in Illinois | # 049061814

TANA LEEDS COLEMAN

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061814

License Status

CANCELLED

Business

N

First Name

TANA LEEDS

Last Name

COLEMAN

Business Name

TANA LEEDS COLEMAN

Original Issue Date

06/28/1974

Effective Date

06/28/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005