ANTWON L TANNA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229356

License Status

NOT RENEWED

Business

First Name

ANTWON

Middle

Last Name

TANNA JR

Business Name

ANTWON L TANNA JR

Original Issue Date

11/18/2014

Effective Date

11/18/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015