TAVONJA S SALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238286

License Status

NOT RENEWED

Business

First Name

TAVONJA

Middle

Last Name

SALLEY

Business Name

TAVONJA S SALLEY

Original Issue Date

12/11/2015

Effective Date

12/11/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016