TIERRA L MACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189657

License Status

NOT RENEWED

Business

First Name

TIERRA

Middle

Last Name

MACON

Prefix

Business Name

TIERRA L MACON

Original Issue Date

02/16/2009

Effective Date

02/16/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010