TIMOTHY WAYNE TACKER - Pharmacist License in Illinois | # 049113667

TIMOTHY WAYNE TACKER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113667

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005