V ELAINE TATUM - Pharmacist License in Illinois | # 049054875

V ELAINE TATUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054875

License Status

NOT RENEWED

Business

N

First Name

V ELAINE

Last Name

TATUM

Business Name

V ELAINE TATUM

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005