KRISTINE M TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289199

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

TANNER

Business Name

KRISTINE M TANNER

Original Issue Date

10/29/2002

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

BELLINGHAM

State

Zip

98226

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008