TATIANNA BOURELLE - Pharmacist License in Illinois | # 049253705

TATIANNA BOURELLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253705

License Status

NOT RENEWED

Business

N

First Name

TATIANNA

Last Name

BOURELLE

Business Name

TATIANNA BOURELLE

Original Issue Date

10/11/2017

Effective Date

02/22/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021