DIONTAE T TILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227286

License Status

NOT RENEWED

Business

First Name

DIONTAE

Middle

Last Name

TILLIS

Business Name

DIONTAE T TILLIS

Original Issue Date

08/20/2014

Effective Date

02/17/2016

Expiration Date

03/31/2017

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017