TARA S DEBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147756

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

DEBERRY

Business Name

TARA S DEBERRY

Original Issue Date

04/02/2003

Effective Date

04/02/2003

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006