TIFFANY LUELLAR WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117077

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

LUELLAR

Last Name

WILLIS

Business Name

TIFFANY LUELLAR WILLIS

Original Issue Date

04/03/1997

Effective Date

04/03/1997

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005