TIA M VANTASSEL Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182532

License Status

ACTIVE

Business

First Name

TIA

Middle

Last Name

VANTASSEL

Business Name

TIA M VANTASSEL

Original Issue Date

03/03/2008

Effective Date

03/11/2026

Expiration Date

03/31/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2026