BART M TATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104365

License Status

NOT RENEWED

Business

First Name

BART M

Last Name

TATE

Business Name

BART M TATE

Original Issue Date

08/26/1993

Effective Date

08/26/1993

Expiration Date

03/31/1997

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

10/17/2005