TINA L LAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132711

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

LAM

Business Name

TINA L LAM

Original Issue Date

09/18/2000

Effective Date

09/18/2000

Expiration Date

03/31/2003

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005