TIFFANY AMELIA CHAIRUDIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228193

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

AMELIA

Last Name

CHAIRUDIN

Business Name

TIFFANY AMELIA CHAIRUDIN

Original Issue Date

09/29/2014

Effective Date

02/23/2018

Expiration Date

03/31/2019

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019