LOURDES A TAN - Pharmacist License in Illinois | # 049207163

LOURDES A TAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207163

License Status

NOT RENEWED

Business

N

First Name

LOURDES

Middle

A

Last Name

TAN

Prefix

MR

Business Name

LOURDES A TAN

Original Issue Date

10/07/2011

Effective Date

10/07/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012