ANGELIQUE TILLERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223159

License Status

NOT RENEWED

Business

First Name

ANGELIQUE

Last Name

TILLERSON

Business Name

ANGELIQUE TILLERSON

Original Issue Date

01/28/2014

Effective Date

01/28/2014

Expiration Date

03/31/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015