CHARLENE A TILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145089

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

Last Name

TILLIS

Business Name

CHARLENE A TILLIS

Original Issue Date

10/02/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008