DAMITA LARAY TANNER - Pharmacist License in Illinois | # 049246738

DAMITA LARAY TANNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246738

License Status

NOT RENEWED

Business

N

First Name

DAMITA

Middle

LARAY

Last Name

TANNER

Business Name

DAMITA LARAY TANNER

Original Issue Date

12/01/2016

Effective Date

12/01/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017