TARA MARIE DETTORE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126915

License Status

INACTIVE

Business

First Name

TARA

Middle

MARIE

Last Name

DETTORE

Business Name

TARA MARIE DETTORE

Original Issue Date

08/09/1999

Effective Date

03/06/2009

Expiration Date

03/31/2010

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010