TANISHA MICKELLE SMITH - Pharmacist License in Illinois | # 049262385

TANISHA MICKELLE SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262385

License Status

NOT RENEWED

Business

N

First Name

TANISHA

Middle

MICKELLE

Last Name

SMITH

Business Name

TANISHA MICKELLE SMITH

Original Issue Date

12/26/2018

Effective Date

03/13/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021