TANICA NICOLE LEE - Pharmacist License in Illinois | # 049171862

TANICA NICOLE LEE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171862

License Status

NOT RENEWED

Business

N

First Name

TANICA

Middle

NICOLE

Last Name

LEE

Business Name

TANICA NICOLE LEE

Original Issue Date

10/11/2006

Effective Date

07/16/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021