Pharmacist
PHARMACY TECHNICIAN
049068810
INACTIVE
N
TAMMY
NISCHIK
TAMMY NISCHIK
02/10/1978
03/03/2010
03/31/2011
LOVES PARK
IL
61111
WINNEBAGO
Y
03/13/2013
2002009026
Refuse To Renew
03/06/2013
due to being convicted of unlawful possession of controlled substances on December 30, 2003 in the Circuit Court of Boone County, Illinois.