TIFFANY CONSTANCE MARISCAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177174

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

CONSTANCE

Last Name

MARISCAL

Business Name

TIFFANY CONSTANCE MARISCAL

Original Issue Date

06/18/2007

Effective Date

02/04/2014

Expiration Date

03/31/2015

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015