TARA JEAN WITTKOP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117997

License Status

NOT RENEWED

Business

First Name

TARA

Middle

JEAN

Last Name

WITTKOP

Business Name

TARA JEAN WITTKOP

Original Issue Date

06/27/1997

Effective Date

06/27/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005