ALISA M TILLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139923

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

Last Name

TILLETT

Business Name

ALISA M TILLETT

Original Issue Date

01/10/2002

Effective Date

01/10/2002

Expiration Date

03/31/2003

City

RAVINA

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005