TARA YVETTE TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133038

License Status

NOT RENEWED

Business

First Name

TARA

Middle

YVETTE

Last Name

TRAVIS

Business Name

TARA YVETTE TRAVIS

Original Issue Date

10/11/2000

Effective Date

03/09/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012