ANASTASIA TELYATOVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193221

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Last Name

TELYATOVA

Business Name

ANASTASIA TELYATOVA

Original Issue Date

07/27/2009

Effective Date

02/20/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015