TATIANA P ROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193747

License Status

NOT RENEWED

Business

First Name

TATIANA

Middle

Last Name

ROSE

Business Name

TATIANA P ROSE

Original Issue Date

08/20/2009

Effective Date

08/20/2009

Expiration Date

03/31/2010

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010