TATYANA KAPUSTYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287931

License Status

NOT RENEWED

Business

First Name

TATYANA

Last Name

KAPUSTYAN

Business Name

TATYANA KAPUSTYAN

Original Issue Date

09/25/2000

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022