TENNILLE C DEBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155312

License Status

NOT RENEWED

Business

First Name

TENNILLE

Middle

Last Name

DEBERRY

Business Name

TENNILLE C DEBERRY

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006