TARA L GRANATA - Pharmacist License in Illinois | # 049111455

TARA L GRANATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111455

License Status

NOT RENEWED

Business

N

First Name

TARA L

Last Name

GRANATA

Business Name

TARA L GRANATA

Original Issue Date

08/07/1995

Effective Date

08/07/1995

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005