TIMOTHY WAYNE TACKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113667

License Status

NOT RENEWED

Business

First Name

TIMOTHY WAYNE

Last Name

TACKER

Business Name

TIMOTHY WAYNE TACKER

Original Issue Date

03/16/1996

Effective Date

03/16/1996

Expiration Date

03/31/1998

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005