AIRA VIDA TAN TESORO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230823

License Status

NOT RENEWED

Business

First Name

AIRA VIDA

Middle

TAN

Last Name

TESORO

Business Name

AIRA VIDA TAN TESORO

Original Issue Date

01/28/2015

Effective Date

02/17/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017