TATIANNA BOURELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253705

License Status

NOT RENEWED

Business

First Name

TATIANNA

Last Name

BOURELLE

Business Name

TATIANNA BOURELLE

Original Issue Date

10/11/2017

Effective Date

02/22/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021