TARA A GILLAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093243

License Status

NOT RENEWED

Business

First Name

TARA A

Last Name

GILLAM

Business Name

TARA A GILLAM

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

03/31/1995

City

STERLING

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005