KRISTINE M TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115869

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

TANNER

Business Name

KRISTINE M TANNER

Original Issue Date

11/08/1996

Effective Date

11/08/1996

Expiration Date

03/31/2003

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005