TABITHA ANN MCCLOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086995

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005