ANDREA LYNN TANNER - Pharmacist License in Illinois | # 049067120

ANDREA LYNN TANNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067120

License Status

NOT RENEWED

Business

N

First Name

ANDREA LYNN

Last Name

TANNER

Business Name

ANDREA LYNN TANNER

Original Issue Date

04/15/1977

Effective Date

04/15/1977

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005