TERESA L TJADEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122072

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

TJADEN

Business Name

TERESA L TJADEN

Original Issue Date

07/24/1998

Effective Date

03/11/2019

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2021