TANNER D ODOM - Pharmacist License in Virginia | # 051286941

TANNER D ODOM

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286941

License Status

INACTIVE

Business

N

First Name

TANNER

Middle

D

Last Name

ODOM

Business Name

TANNER D ODOM

Original Issue Date

12/07/1998

Effective Date

12/07/1998

Expiration Date

03/31/2004

State

VA

Ever Disciplined

N

LastModifiedDate

12/06/2005