MISTY CHRISTINE POBLETE TAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144235

License Status

NOT RENEWED

Business

First Name

MISTY CHRISTINE

Middle

POBLETE

Last Name

TAN

Business Name

MISTY CHRISTINE POBLETE TAN

Original Issue Date

08/19/2002

Effective Date

08/19/2002

Expiration Date

03/31/2004

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005