TENNILLE C DEBERRY - Pharmacist License in Illinois | # 049155312

TENNILLE C DEBERRY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155312

License Status

NOT RENEWED

Business

N

First Name

TENNILLE

Middle

C

Last Name

DEBERRY

Business Name

TENNILLE C DEBERRY

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006