TELISHA M IVY - Pharmacist License in Illinois | # 049173081

TELISHA M IVY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173081

License Status

NOT RENEWED

Business

N

First Name

TELISHA

Middle

M

Last Name

IVY

Business Name

TELISHA M IVY

Original Issue Date

12/11/2006

Effective Date

12/11/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007