TIFFANY W FANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211359

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

FANG

Prefix

Business Name

TIFFANY W FANG

Original Issue Date

05/29/2012

Effective Date

05/29/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013