SISA D TAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164299

License Status

NOT RENEWED

Business

First Name

SISA

Middle

Last Name

TAN

Business Name

SISA D TAN

Original Issue Date

09/30/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008