TAMARA RENEE MICELI - Pharmacist License in Illinois | # 049189489

TAMARA RENEE MICELI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189489

License Status

NOT RENEWED

Business

N

First Name

TAMARA

Middle

RENEE

Last Name

MICELI

Business Name

TAMARA RENEE MICELI

Original Issue Date

02/04/2009

Effective Date

02/04/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010