V ELAINE TATUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054875

License Status

NOT RENEWED

Business

First Name

V ELAINE

Last Name

TATUM

Business Name

V ELAINE TATUM

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MOUNDS

State

Zip

62964

County

PULASKI

Ever Disciplined

LastModifiedDate

10/17/2005