TATIANA DELVALLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241632

License Status

NOT RENEWED

Business

First Name

TATIANA

Last Name

DELVALLE

Business Name

TATIANA DELVALLE

Original Issue Date

05/03/2016

Effective Date

05/03/2016

Expiration Date

03/31/2017

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2017