TINA LATRISE JEFFERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175198

License Status

NOT RENEWED

Business

First Name

TINA

Middle

LATRISE

Last Name

JEFFERSON

Business Name

TINA LATRISE JEFFERSON

Original Issue Date

03/29/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009