TIFFANY VICTORIA CONWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152580

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

VICTORIA

Last Name

CONWELL

Business Name

TIFFANY VICTORIA CONWELL

Original Issue Date

12/18/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009