TINA M AMBROSE - Pharmacist License in Illinois | # 049130314

TINA M AMBROSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130314

License Status

NOT RENEWED

Business

N

First Name

TINA

Middle

M

Last Name

AMBROSE

Business Name

TINA M AMBROSE

Original Issue Date

03/29/2000

Effective Date

03/29/2000

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005