TIFFANY ANTOINETTE HALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156780

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ANTOINETTE

Last Name

HALE

Business Name

TIFFANY ANTOINETTE HALE

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005