TATYANA KAPUSTYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119750

License Status

NOT RENEWED

Business

First Name

TATYANA

Last Name

KAPUSTYAN

Business Name

TATYANA KAPUSTYAN

Original Issue Date

01/06/1998

Effective Date

01/06/1998

Expiration Date

03/31/2001

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005