TIA JATUAN LANCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221033

License Status

NOT RENEWED

Business

First Name

TIA

Middle

JATUAN

Last Name

LANCE

Business Name

TIA JATUAN LANCE

Original Issue Date

09/24/2013

Effective Date

11/25/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015