Pharmacist
PHARMACY TECHNICIAN
049160606
NOT RENEWED
N
TYLER
J
BLINDT
TYLER J BLINDT
04/27/2005
04/01/2016
03/31/2017
GLADSTONE
IL
61437
HENDERSON
Y
05/10/2017
2016010329
Suspension
02/03/2017
09/13/2018
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/17/2018.