TYRA LATERRA WILES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269053

License Status

NOT RENEWED

Business

First Name

TYRA

Middle

LATERRA

Last Name

WILES

Business Name

TYRA LATERRA WILES

Original Issue Date

11/06/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021