TINA C ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225856

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

ANDERSON

Business Name

TINA C ANDERSON

Original Issue Date

06/12/2014

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/18/2021

Case Number

2021004548

Action

Suspension

Discipline Start Date

09/17/2021

Discipline End Date

05/02/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 05/06/2024.