MAYNARD JAY TAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238089

License Status

NOT RENEWED

Business

First Name

MAYNARD

Middle

JAY

Last Name

TAN

Business Name

MAYNARD JAY TAN

Original Issue Date

12/02/2015

Effective Date

02/28/2017

Expiration Date

03/31/2018

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018