TYANA JATON GOODWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246711

License Status

NOT RENEWED

Business

First Name

TYANA

Middle

JATON

Last Name

GOODWIN

Business Name

TYANA JATON GOODWIN

Original Issue Date

11/30/2016

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/15/2019