CHARLENE A TILLIS - Pharmacist License in Illinois | # 049145089

CHARLENE A TILLIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145089

License Status

NOT RENEWED

Business

N

First Name

CHARLENE

Middle

A

Last Name

TILLIS

Business Name

CHARLENE A TILLIS

Original Issue Date

10/02/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008