MAYNARD JAY TAN - Pharmacist License in Illinois | # 049238089

MAYNARD JAY TAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238089

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018