TISHAWN R IVY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197049

License Status

NOT RENEWED

Business

First Name

TISHAWN

Middle

Last Name

IVY

Prefix

Business Name

TISHAWN R IVY

Original Issue Date

03/02/2010

Effective Date

03/02/2010

Expiration Date

03/31/2011

City

MARKHAM

State

Zip

60428

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011