TABITHA D AYALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275341

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

AYALA

Business Name

TABITHA D AYALA

Original Issue Date

08/25/2020

Effective Date

08/25/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021