TANISHA YVONNE PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257913

License Status

NOT RENEWED

Business

First Name

TANISHA

Middle

YVONNE

Last Name

PHILLIPS

Business Name

TANISHA YVONNE PHILLIPS

Original Issue Date

05/15/2018

Effective Date

05/15/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019