TYSON LAVANCE DEAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247278

License Status

NOT RENEWED

Business

First Name

TYSON

Middle

LAVANCE

Last Name

DEAN

Business Name

TYSON LAVANCE DEAN

Original Issue Date

12/20/2016

Effective Date

02/21/2018

Expiration Date

03/31/2019

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

12/07/2020