SHUNTEZ D TANNER - Pharmacist License in Illinois | # 049166763

SHUNTEZ D TANNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166763

License Status

NOT RENEWED

Business

N

First Name

SHUNTEZ

Middle

D

Last Name

TANNER

Business Name

SHUNTEZ D TANNER

Original Issue Date

03/14/2006

Effective Date

03/14/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007