LEALAND LAMAR TISDALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246282

License Status

NOT RENEWED

Business

First Name

LEALAND

Middle

LAMAR

Last Name

TISDALE

Business Name

LEALAND LAMAR TISDALE

Original Issue Date

11/15/2016

Effective Date

03/28/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018