OLIVIA TANGONAN - Pharmacist License in Illinois | # 049061479

OLIVIA TANGONAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061479

License Status

NOT RENEWED

Business

N

First Name

OLIVIA

Last Name

TANGONAN

Business Name

OLIVIA TANGONAN

Original Issue Date

05/17/1974

Effective Date

05/17/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005