TARA NICOLE REBECCA MILLSAP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277318

License Status

NOT RENEWED

Business

First Name

TARA

Middle

NICOLE REBECCA

Last Name

MILLSAP

Business Name

TARA NICOLE REBECCA MILLSAP

Original Issue Date

11/12/2020

Effective Date

11/12/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021