Pharmacist
PHARMACY TECHNICIAN
049101092
NOT RENEWED
N
GABRIEL
TANASE
GABRIEL TANASE
08/25/1992
08/25/1992
03/31/1993
BUFFALO GROVE
IL
60089
LAKE
Y
10/17/2005
1992006281
Termination
02/03/1994
Failed to rectify a non-bankable remittance submitted to the Department.