TYRA JEFFERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142493

License Status

NOT RENEWED

Business

First Name

TYRA

Last Name

JEFFERSON

Business Name

TYRA JEFFERSON

Original Issue Date

05/17/2002

Effective Date

05/17/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005