TIANDREA NICOLE TATE - Pharmacist License in Illinois | # 049183694

TIANDREA NICOLE TATE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183694

License Status

NOT RENEWED

Business

N

First Name

TIANDREA

Middle

NICOLE

Last Name

TATE

Business Name

TIANDREA NICOLE TATE

Original Issue Date

04/18/2008

Effective Date

04/18/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009