DELIA R TAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146316

License Status

NOT RENEWED

Business

First Name

DELIA

Middle

Last Name

TAN

Business Name

DELIA R TAN

Original Issue Date

12/11/2002

Effective Date

03/30/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011