TIAISHA C AMBROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175193

License Status

NOT RENEWED

Business

First Name

TIAISHA

Middle

Last Name

AMBROSE

Business Name

TIAISHA C AMBROSE

Original Issue Date

03/29/2007

Effective Date

03/29/2007

Expiration Date

03/31/2008

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008