TIA M POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187182

License Status

NOT RENEWED

Business

First Name

TIA

Middle

Last Name

POWELL

Prefix

Business Name

TIA M POWELL

Original Issue Date

09/22/2008

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010