TEQUELLA TIARA TOLSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156119

License Status

NOT RENEWED

Business

First Name

TEQUELLA

Middle

TIARA

Last Name

TOLSTON

Business Name

TEQUELLA TIARA TOLSTON

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005