EMILIE GRACE TAYLOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158672

License Status

NOT RENEWED

Business

First Name

EMILIE

Middle

GRACE

Last Name

TAYLOR

Business Name

EMILIE GRACE TAYLOR

Original Issue Date

12/29/2004

Effective Date

12/29/2004

Expiration Date

03/31/2006

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006