WAYNE ALAN TILLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117618

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

ALAN

Last Name

TILLMAN

Business Name

WAYNE ALAN TILLMAN

Original Issue Date

05/16/1997

Effective Date

05/16/1997

Expiration Date

03/31/1999

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005