TIFFANY MEDINA - Pharmacist License in Illinois | # 049187519

TIFFANY MEDINA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187519

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Last Name

MEDINA

Prefix

MR

Business Name

TIFFANY MEDINA

Original Issue Date

10/03/2008

Effective Date

02/22/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011