BRENT LEE TACKITT - Pharmacist License in Illinois | # 049148898

BRENT LEE TACKITT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148898

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

LEE

Last Name

TACKITT

Business Name

BRENT LEE TACKITT

Original Issue Date

06/13/2003

Effective Date

06/13/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005