CARLA ANN TILLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130621

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

ANN

Last Name

TILLMAN

Business Name

CARLA ANN TILLMAN

Original Issue Date

04/20/2000

Effective Date

04/20/2000

Expiration Date

03/31/2003

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005