TISA ADELL TAYLOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149413

License Status

NOT RENEWED

Business

First Name

TISA

Middle

ADELL

Last Name

TAYLOR

Business Name

TISA ADELL TAYLOR

Original Issue Date

07/02/2003

Effective Date

04/30/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010