CAROLE VIVIAN TYSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110335

License Status

NOT RENEWED

Business

First Name

CAROLE VIVIAN

Last Name

TYSON

Business Name

CAROLE VIVIAN TYSON

Original Issue Date

04/28/1995

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012