MICHELLE R TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095257

License Status

NOT RENEWED

Business

First Name

MICHELLE R

Last Name

TANNER

Business Name

MICHELLE R TANNER

Original Issue Date

12/08/1990

Effective Date

12/08/1990

Expiration Date

03/31/1991

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005