MANUEL M TAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165414

License Status

NOT RENEWED

Business

First Name

MANUEL

Middle

Last Name

TAN

Business Name

MANUEL M TAN

Original Issue Date

12/06/2005

Effective Date

12/06/2005

Expiration Date

03/31/2006

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006