ANITA TACYANG LEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221215

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

TACYANG

Last Name

LEE

Business Name

ANITA TACYANG LEE

Original Issue Date

10/02/2013

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019