MANUEL M TAN - Pharmacist License in Illinois | # 049165414

MANUEL M TAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165414

License Status

NOT RENEWED

Business

N

First Name

MANUEL

Middle

M

Last Name

TAN

Business Name

MANUEL M TAN

Original Issue Date

12/06/2005

Effective Date

12/06/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006