TASHLA RUSSELLY CAMPOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276544

License Status

NOT RENEWED

Business

First Name

TASHLA

Middle

RUSSELLY

Last Name

CAMPOS

Business Name

TASHLA RUSSELLY CAMPOS

Original Issue Date

10/10/2020

Effective Date

10/10/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021