TIFFANY MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187519

License Status

NOT RENEWED

Business

First Name

TIFFANY

Last Name

MEDINA

Prefix

Business Name

TIFFANY MEDINA

Original Issue Date

10/03/2008

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011