DAMITA LARAY TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246738

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017