TABITHA ANN MCCLOM - Pharmacist License in Illinois | # 049086995

TABITHA ANN MCCLOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086995

License Status

NOT RENEWED

Business

N

First Name

TABITHA

Middle

ANN

Last Name

MCCLOM

Business Name

TABITHA ANN MCCLOM

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005