TIANNA MARIE LATRICE MICKLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256605

License Status

NOT RENEWED

Business

First Name

TIANNA

Middle

MARIE LATRICE

Last Name

MICKLES

Business Name

TIANNA MARIE LATRICE MICKLES

Original Issue Date

03/08/2018

Effective Date

03/28/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60628

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021