DYLAN LEE TENNISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264461

License Status

NOT RENEWED

Business

First Name

DYLAN

Middle

LEE

Last Name

TENNISON

Business Name

DYLAN LEE TENNISON

Original Issue Date

04/12/2019

Effective Date

04/12/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

07/31/2025