TISHAWN R IVY - Pharmacist License in Illinois | # 049197049

TISHAWN R IVY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197049

License Status

NOT RENEWED

Business

N

First Name

TISHAWN

Middle

R

Last Name

IVY

Prefix

MR

Business Name

TISHAWN R IVY

Original Issue Date

03/02/2010

Effective Date

03/02/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011